A new multidisciplinary home care telemedicine system to monitor stable chronic human immunodeficiency virus-infected patients: a randomized study.
Source: Leon, A., et al. 2011 - Pubmed ID: 21283736
Setting: Spain, University hospital
Study design:
RCT (cross over)
Follow up: 2 years
Patient group:
Sample size:
Total: 83 (76)
Arm1: 42 (38)
Arm2: 41 (38)
Inclusion criteria:
- Chronic human immunodeficiency virus (HIV) infection
Type of technology:
Webpage
- Messaging Clinicians
- Community
- Perscriptions
- Medicine advice
- Education
- Library
Video consultations
- Treatment
- Adjustment
- Medicine
Intervention:
Intervention: Multidisciplinary internet-based home care model covering the entire management of chronic HIV infected patients (Virtual hospital). Allowing the patient to be remotely followed-up by professionals and have access to their own clinical and pharmaceutical files
Duration: 1 year
Add on: NA
Control group: Usual care
Clinical effect:
- CD4+ T lymphocytes→
- Viral load→
- cART compliance levels >90%→
- QoL→
- Psycological evaluation→
Patient safety:
- No opportunistic infections were reported
Patient experiences/
Staff experiences:
Patient experiences:
- 85% of patients considered that Virtual Hospital improved their access to clinical data and they felt comfortable with the videoconference system
- 82% of patients said it is easy way to communicate among users
Staff experiences:
- Similar results as for the patients
Investment:
Equipment
- Virtual hospital system development
Staff
- System training
- External technical assistance
Running:
Equipment
- Virtual hospital system
Staff
- System training
- Technical assistance
Organization:
- Development of new skills
- Integration EPJ
Health care utilization:
- Infection disease unit→
- Pharmacy→
- Primary care→
- Other health providers→