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 Multi-speciality Clinics
CT-his
Follow up: 2 years
Sample size:
Total: 3534 (3430)
IG: 1767 (1715)
CG: 1767 (1715)
Inclusion criteria:
- Congestive heart failure
- Chronic obstructive pulmonary disease
- Diabetes mellitus
Home monitoring (Health Buddy Device)
- Collect and store health related data
- Transfer data
- Educational feedback
- Improve coordination and contact with care providers
Intervention: Health buddy is a home monitoring device, which collect patient information on symptoms, vital signs, mental health, knowledge, and health behaviors by daily questions. Data were risk stratified for identification of appropriate feedback and intervention from care providers.
Control group: NA
Clinical effect:
- Mortality →
- Inpatient admissions(quarterly) →
- Hospital days (quarterly) →
- Emergency department visits (quarterly) →
Patient safety: NA
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
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) →
- Emergency department visits (quarterly) →