Only then will telemonitoring achieve the aim of preventing hospital admissions , contributing to the reduction of health re source utilization and improving the quality of life of patients
Major reported factors associated with the limited effectiveness of home telemonitoring interventions in chronic respiratory conditions include the lack of useful early predictors , poor patient compliance and the poor performance of conventional algorithms for detecting deteriorations .
This article provides a systematic review of existing algorithms and the factors associated with their performance in detecting exacerbations and supporting clinical decisions in patients with chronic obstructive pulmonary disease ( COPD ) or asthma .
Cost-utility analysis of a telerehabilitation program: a case study of COPD patients.
OBJECTIVE The present study seeks to conduct cost-utility analysis ( CUA ) of the Danish TELEKAT ( Telehomecare , Chronic Patients and the Integrated Healthcare System ) project . The TELEKAT project seeks to test and develop a preventive home monitoring concept across sectors for chronic obstructive pulmonary disease ( COPD ) patients . The concept of the TELEKAT project is to reduce admissions by enabling the COPD patients to conduct self-monitoring and maintain rehabilitation activities in their own home . COPD patients with severe and very severe COPD were included in the study . SUBJECTS AND METHODS This economic evaluation follows international guidelines for the conduction of a CUA alongside a clinical r and omized controlled trial . The analysis is based on a health sector perspective . RESULTS The mean incremental cost efficiency ratio , located in the southeast quadrant , shows that telerehabilitation is less costly and more effective than the rehabilitation given to the control group . The telerehabilitation program produces more value for money and generates savings on healthcare budgets . CONCLUSIONS The telerehabilitation program appears to be more cost-effective than the conventional rehabilitation program for COPD patients . Further studies of cost-effectiveness with a focus on large-scale studies are needed
Only then will telemonitoring achieve the aim of preventing hospital admissions , contributing to the reduction of health re source utilization and improving the quality of life of patients
Major reported factors associated with the limited effectiveness of home telemonitoring interventions in chronic respiratory conditions include the lack of useful early predictors , poor patient compliance and the poor performance of conventional algorithms for detecting deteriorations .
This article provides a systematic review of existing algorithms and the factors associated with their performance in detecting exacerbations and supporting clinical decisions in patients with chronic obstructive pulmonary disease ( COPD ) or asthma .