chronic diseases
Bartlett C et al, BMC Medical Informatics and Decision Making, 12(1)
Background
Access to medical records on the Internet has been reported to be acceptable and popular with patients, although most published evaluations have been of primary care or office-based practice. We tested the feasibility and acceptability of making unscreened results and data from a complex chronic disease pathway (renal medicine) available to patients over the Internet in a project involving more than half of renal units in the UK.
Methods
Content and presentation of the Renal PatientView (RPV) system was developed with patient groups. It was designed to receive information from multiple local information systems and to require minimal extra work in units. After piloting in 4 centres in 2005 it was made available more widely. Opinions were sought from both patients who enrolled and from those who did not in a paper survey, and from staff in an electronic survey. Anonymous data on enrolments and usage were extracted from the webserver.
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Published:
16 August 2012 |
Keyword(s): Chronic Diseases, Identifier, Internet, Nephrology, Patient Record Access, UK, XML
Aizpuru F et al, Family Practice, 2012
Background
The electronic health record (EHR) allows a detailed study of the primary care consultations and assessment of variability among physicians regarding the implementation of practices for prevention, detection and monitoring of chronic diseases.
Objectives
To describe the variability in the detection and surveillance of chronic conditions in primary care.
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Published:
15 March 2012 |
Keyword(s): Chronic Diseases, Electronic Health Records, Prevention, Primary Care, Surveillance
Dombkowski KJ et al, American Journal of Preventive Medicine, 42(1)
Background
Children with chronic conditions have an increased risk of complications from influenza and have low influenza vaccination rates.
Purpose
To assess the feasibility and effectiveness of using a statewide immunization information system (IIS) for seasonal influenza vaccine reminders from local health departments (LHDs) targeting children with high-risk conditions.
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Published:
31 December 1969 |
Keyword(s): Chronic Diseases, Electronic Health Records, Immunization, Influenza, Pediatrics, Reminder Systems, Risk, United States
Pulvirenti M et al, Health Expectations, 2011
Background
Patient or person centred care is widely accepted as the philosophy and practice that underpins quality care. An examination of the Australian National Chronic Disease Strategy and literature in the field highlights assumptions about the self-manager as patient and a focus on clinical settings.
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Published:
2 January 2012 |
Keyword(s): Australia, Chronic Diseases, Empowerment, Patient Care, Quality, Self Management
Vedel I et al, International Journal of Medical Informatics, 2011
Given the increasing prevalence of multimorbidity in primary care (PC), interdisciplinary PC teams supported by appropriate clinical information systems (CIS) are needed in order to deal with the complexity of multimorbid patients’ care. Our team has developed such a system, called the Da Vinci system. However, despite the expected benefits, evidence suggests generally low rates of CIS adoption. To optimize adoption in PC settings, a better understanding of the implementation process of such systems is crucial.
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Published:
20 December 2011 |
Keyword(s): Adoption, Chronic Diseases, Communication, Health Information Technology, Information Systems, Patient, Physician, Primary Care
Navarro-Pérez J et al, Avances en Diabetología, 2011
Introduction
Optimising care for people with diabetes goes through the incorporation of information and communication technology to a chronic care model.
Objectives
To determine the development of electronic medical records related to diabetes in different regions of Spain.
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Published:
17 November 2011 |
Keyword(s): Chronic Diseases, Diabetes, Electronic Health Records, Electronic Medical Records, Primary Care, Quality, Spain
Glasgow RE et al, Patient Education and Counseling, 2011
OBJECTIVE:
Internet-based programs offer potential for practical, cost-effective chronic illness self-management programs.
METHODS:
We report 12-month results of an Internet-based diabetes self-management program, with and without additional support, compared to enhanced usual care in a 3-arm practical randomized trial. Patients (n=463) were randomized: 77.3% completed 12-month follow-up. Primary outcomes were changes in health behaviors of healthy eating, physical activity, and medication taking. Secondary outcomes were hemoglobin A1c, body mass index, lipids, blood pressure, and psychosocial factors.
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Published:
15 September 2011 |
Keyword(s): Chronic Diseases, Diabetes Mellitus, Internet, Self Management, United States
McLean S et al, BMJ, 342
Telehealthcare is personalised healthcare delivered over a distance; data are transferred from the patient to the professional, who then provides feedback
In patients with severe long term conditions, such as problematic asthma and diabetes, telehealthcare can reduce hospital admissions without increasing mortality
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Published:
3 February 2011 |
Keyword(s): Chronic Diseases, Cost-Benefit Analysis, Health Personnel, Patient Education, Patient Satisfaction, Telemedicine, Videoconferencing
Baker LC et al, Health Affairs, 30(9)
Treatment of chronically ill people constitutes nearly four-fifths of US health care spending, but it is hampered by a fragmented delivery system and discontinuities of care. We examined the impact of a care coordination approach called the Health Buddy Program, which integrates a telehealth tool with care management for chronically ill Medicare beneficiaries. We evaluated the program’s impact on spending for patients of two clinics in the US Northwest who were exposed to the intervention, and we compared their experience with that of matched controls. We found significant savings among patients who used the Health Buddy telehealth program, which was associated with spending reductions of approximately 7.7-13.3 percent ($312-$542) per person per quarter. These results suggest that carefully designed and implemented care management and telehealth programs can help reduce health care spending and that such programs merit continued attention by Medicare. Meanwhile, mortality differences in the treatment and control groups suggest that the intervention may have produced noticeable changes in health outcomes, but we leave it to future research to explore these effects fully.
Published:
September 2011 |
Keyword(s): Benefits, Chronic Diseases, Telehealth, Telemedicine, United States
Tolar M, Balka E. International Perspectives in Health Informatics, 2011
With the introduction of electronic medical record (EMR) systems into the primary care sector the collected data become available for purposes beyond individual patient care, i.e. chronic disease management, prevention and clinical performance evaluation. However EMR systems are primarily designed to support clinical tasks, and physicians focus on the treatment of individual patients.
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Published:
2011 |
Keyword(s): Canada, Chronic Diseases, Disease Management, Electronic Health Records, Prevention, Primary Care, Secondary Data Use
Ancker JS et al, Journal of General Internal Medicine, 2011
BACKGROUND:
Electronic patient portals give patients access to information from their electronic health record and the ability to message their providers. These tools are becoming more widely used and are expected to promote patient engagement with health care.
OBJECTIVE:
To quantify portal usage and explore potential differences in adoption and use according to patients’ socioeconomic and clinical characteristics in a network of federally qualified health centers serving New York City and neighboring counties.
DESIGN:
Retrospective analysis of data from portal and electronic health records.
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Published:
7 June 2011 |
Keyword(s): Chronic Diseases, Disparities, Electronic Health Records, Health Information Technology, Insurance, Personal Health Records, Portal, United States
Gruman JC. American Journal of Preventive Medicine, 40(5 Suppl 2)
A dramatic increase in the public’s use of digital technologies theoretically should provide new audiences for those who develop, test, fund, and implement applications to help people with chronic conditions care for themselves more effectively. However, to date, such technologies—for example, telemedicine, virtual visits, home health monitors, social networks, digital pill bottles, patient/clinician communities—have attracted scant interest from the public and yielded few if any sustainable improvements in health and functioning.
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Published:
May 2011 |
Keyword(s): Chronic Diseases, Electronic Health Records, Health Information Technology, Interoperability, Telemedicine, United States
Piette JD et al, American Journal of Preventive Medicine, 40(6)
BACKGROUND
Although interactive voice response (IVR) calls can be an effective tool for chronic disease management, many regions of the world lack the infrastructure to provide these services. PURPOSE This study evaluated the feasibility and potential impact of an IVR program using a cloud-computing model to improve diabetes management in Honduras.
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Published:
June 2011 |
Keyword(s): Cellular Phone, Chronic Diseases, Cloud Computing, Diabetes Mellitus, Disease Management, Honduras, Interactive voice response (IVR), mHealth, Self Care
Tenforde M et al, Family Medicine, 43(5)
BACKGROUND AND OBJECTIVES
Electronic personal health records (PHRs) allow patients access to their medical records, self-management tools, and new avenues of communication with their health care providers. They will likely become a valuable component of the primary care Patient-centered Medical Home model. Primary care physicians, who manage the majority of chronic disease, will use PHRs to help patients manage their diabetes and other chronic diseases requiring continuity of care and enhanced information flow between patient and physician. In this brief report, we explore the evidence for the value of PHRs in chronic disease management.
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Published:
May 2011 |
Keyword(s): Chronic Diseases, Disease Management, Electronic Health Records, Literature Review, Patient Record Access, Personal Health Records, Primary Care, United States
Theera-Ampornpunt N et al, AMIA, Annual Symposium Proceedings, 2009
A patient’s prior clinical information available electronically can be helpful during the care process, particularly in the emergency department (ED). The effect of such information on quality and efficiency of ED patient care has not been adequately studied. This study uses secondary data to investigate its impact on surrogate measures of care quality and efficiency among 6,143 congestive heart failure, diabetic, and asthmatic patients in 3 EDs.
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Published:
2009 |
Keyword(s): Asthma, Chronic Diseases, Diabetes Mellitus, Electronic Health Records, Emergency Department, Heart Failure, Medical Informatics, United States
Bonato P. Conf Proc IEEE Eng Med Biol Soc, 2010
The concept of monitoring individuals in the home and community settings was introduced more than 50 years ago, when Holter monitoring was proposed (in the late 1940s) and later adopted (in the 1960s) as a clinical tool. However, technologies to fully enable such vision were lacking and only sporadic and rather obtrusive monitoring techniques were available for several decades. Over the past decade, we have witnessed a great deal of progress in the field of wearable sensors and systems. Advances in this field have finally provided the tools to implement and deploy technology with the capabilities required by researchers in the field of patients’ home monitoring.
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Published:
2010 |
Keyword(s): Chronic Diseases, Monitoring, Telemedicine, Wearable
Dumaij ACM, Tijssen ECG. Health and Technology, 1(1)
A health companion is a patient who supports another patient or patient group with a similar health condition. Health companions deliver more and more support by the Internet. However, little is known about the characteristics of the users, their motivation, type of technology used and effects on health and the healthcare delivery process. The objective of the paper is to understand motivation, technology and effects of on-line health companion contact in the Netherlands concerning chronic diseases (DBM, COPD, CHF, CRD, CMD). The On-line Health Companion Contact Model was created to frame the research process. An extensive on-line questionnaire was taken from patients with various chronic disorders and using on-line health companion contact to obtain quantitative and qualitative data.
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Published:
29 March 2011 |
Keyword(s): Chronic Diseases, Internet, Netherlands, Patient Empowerment, Self Management
Andreassen HK. Social Science & Medicine, 2010
There is increasing interest in using electronic mail and other electronic health technologies (e-health technologies) in patient follow-ups. This study sheds light on patients’ reception of provider-initiated e-health in their everyday environments. In a research project carried out in Norway (2005-2007), an electronic address for a hospital dermatology ward was offered to 50 patient families for improved access to expert advice from the patients’ homes. Drawing on semi-structured interviews with 12 families, this paper explores how the electronic address was integrated into everyday health practice. The research illuminates how the electronic address did not only represent changes related to treatment procedures and frequency or nature of expert contact; it was also important to other practices in the everyday lives of the families of patients with chronic illness.
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Published:
13 December 2010 |
Keyword(s): Chronic Diseases, e-Health, e-Mail, Healthcare Technology, Norway, Patient-provider communication
Li S et al, Journal of Medical Systems, 2010
For the aging population and for people with dominant chronic diseases, countries all over the world are promoting an “Aging in Place” program with its primary focus on the implementation of telecare. In 2009, Taiwan held a “Health Care Value-Added Platinum Program” with the goal of promoting the development of “Telecare” services by integrating medical treatment, healthcare, information communication, medical equipments and materials and by linking related cross-discipline professions to enable people to familiarize themselves with preventive healthcare services offered in their household and community environments. In addition, this program can be utilized to effectively provide diversified healthcare service benefitting society as a whole.
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Published:
30 October 2010 |
Keyword(s): Chronic Diseases, Design, Elderly, Implementation, Platform, Service Oriented Architecture, Taiwan, Telecare, Telemedicine
Ilioudi S et al, International Journal of Electronic Healthcare, 5(4)
Achieving benefits from the introduction of ICTs as part of processes aimed at building sustainable self-efficacy and self-management is very difficult, not least because of a desire to avoid simply replacing patient dependency on health professionals with dependency on technology. Chronic illnesses require ongoing attention that differs from traditional, encounter-based care for acute illnesses. Patients with chronic illnesses such as asthma, cardiovascular disease, depression, diabetes, heart failure and migraine headaches play a central role in managing the broad array of factors that contribute to their health. Individuals with diabetes, for example, provide close to 95% of their own care.
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Published:
2010 |
Keyword(s): Chronic Diseases, Healthcare Technology, ICT, Patient, Personalised Medicine, Self Efficacy, Self Management
