RESULTS The magnitude and significance of the telemonitoring effects on patients ' conditions ( e.g. , early detection of symptoms , decrease in blood pressure , adequate medication , reduced mortality ) still remain inconclusive for all four chronic illnesses .
However , the results of this study suggest that regardless of their nationality , socioeconomic status , or age , patients comply with telemonitoring programs and the use of technologies .
Importantly , the telemonitoring effects on clinical effectiveness outcomes ( e.g. , decrease in the emergency visits , hospital admissions , average hospital length of stay ) are more consistent in pulmonary and cardiac studies than diabetes and hypertension .
Home telemonitoring of chronic diseases seems to be a promising patient management approach that produces accurate and reliable data , empowers patients , influences their attitudes and behaviors , and potentially improves their medical conditions .
OBJECTIVE Home telemonitoring represents a patient management approach combining various information technologies for monitoring patients at distance .
This study presents a systematic review of the nature and magnitude of outcomes associated with telemonitoring of four types of chronic illnesses : pulmonary conditions , diabetes , hypertension , and cardiovascular diseases .
Telephone Modem Access Improves Diabetes Control in Those with Insulin-Requiring Diabetes
OBJECTIVE To assess whether modem access improves diabetes control in IDDM patients . RESEARCH DESIGN AND METHODS Forty-two patients participated in the study and were followed for 12 wk . The patients were r and omly divided into two groups at baseline , a modem group and a control group . There were no significant differences between HbA1c , r and om blood glucose , and weight between the groups at the beginning of the study . Patients were asked to perform five blood glucose determinations/day ( before breakfast , before lunch , afternoon [ 1500 ] , before dinner , and at bedtime ) twice/week . The modem group transferred their data over the phone once/week . The control group would bring in their results on their regular visits every 6 wk . Patients in the modem group were counseled every week over the telephone after transferring results to adjust insulin and food intake if necessary . RESULTS In the modem group , HbA1c improved from 0.106 to 0.092 ( 13.20 % ) . The control group improved from 0.112 to 0.102 ( 8.9 % ) . There was no significant change in weight , r and om blood glucose , or insulin . CONCLUSIONS The use of telephone modem-based patient-monitoring systems in diabetes clinical research seems to stimulate the patient to keep closer control of blood glucose levels . It might be especially useful in rural setting s , for which this study was design ed
RESULTS The magnitude and significance of the telemonitoring effects on patients ' conditions ( e.g. , early detection of symptoms , decrease in blood pressure , adequate medication , reduced mortality ) still remain inconclusive for all four chronic illnesses .
However , the results of this study suggest that regardless of their nationality , socioeconomic status , or age , patients comply with telemonitoring programs and the use of technologies .
Importantly , the telemonitoring effects on clinical effectiveness outcomes ( e.g. , decrease in the emergency visits , hospital admissions , average hospital length of stay ) are more consistent in pulmonary and cardiac studies than diabetes and hypertension .
Home telemonitoring of chronic diseases seems to be a promising patient management approach that produces accurate and reliable data , empowers patients , influences their attitudes and behaviors , and potentially improves their medical conditions .
OBJECTIVE Home telemonitoring represents a patient management approach combining various information technologies for monitoring patients at distance .
This study presents a systematic review of the nature and magnitude of outcomes associated with telemonitoring of four types of chronic illnesses : pulmonary conditions , diabetes , hypertension , and cardiovascular diseases .