Effects of care management and telehealth: a longitudinal analysis using medicare data.

Source: Baker, L. C., et al. 2013 - Pubmed ID: 24028359

Setting: USA, 2 mul-tispeciali-ty clinics

Study design:

CT-his

Follow up:

2 years

Patient group:

Sample size:

Total: 3534 (3430)

IG: 1767 (1715)

CG: 1767 (1715)

Inclusion criteria: Congestive heart failure, chronic obstructive pulmonary disease, diabetes mellitus.

Type of technology:

health buddy device (Home monitoring)

– Collect and store health related data

– Transfer data

– Educational feedback

Improve coordination and contact with care providers

Intervention:

health buddy device (Home monitoring)

– Collect and store health related data

– Transfer data

– Educational feedback

Improve coordination and contact with care providers

Control group:

NA

Clinical effect/ Patient safety:

Clinical effect (only diabetes):

– Mortality →

– inpatient admissions(quarterly) →

– Hospital days (quarterly) →

– Emergence department visits (quarterly) →

Patient safety:

NA

Patient experiences/ Staff experiences:

Patient experiences: Approximately 37% of the intervention population inputted information into the system at least once.

Engaged participants used Health

Buddy for 300 days during the demonstration, on average.

Staff experiences:

NA

Costs and organization:

Investment:

Equipment:

– health buddy device

Running:

Staff resources:

– Feedback on patient data

-education of pt.

Organization

NA

Health care utilization:

Mortality →

– Inpatient admissions(quarterly) →

– Hospital days (quarterly) →

– Emergence department visits (quarterly) →

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)