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

Study design:



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:

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/ Patient safety:

Clinical effect:

  • Mortality →
  • Inpatient admissions(quarterly) →
  • Hospital days (quarterly) →
  • Emergency 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:



  • Health buddy device



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) →
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“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)