Abstract:
INTRODUCTION:Much attention has been focused on decreasing chronic obstructive pulmonary disease (COPD) hospital readmissions. The US health system has struggled to meet this goal. The objective of this study was to assess the efficacy of telehealth services on the reduction of hospital readmission and mortality rates for COPD. METHODS:We used a cross-sectional design to examine the association between hospital risk-adjusted readmission and mortality rates for COPD and hospital use of post-discharge telemonitoring (TM). Data for 777 hospitals were sourced from the Centers for Medicare & Medicaid Services and the American Hospital Association annual surveys. Propensity score matching using the kennel weights method was applied to calculate the weighted probability of being a hospital that offers post-discharge TM services. RESULTS:Hospitals with post-discharge TM had about 34% significantly higher odds (adjusted odds ratio (AOR) = 1.34; 95% confidence interval (CI) 1.06-1.70) of 30-day COPD readmission and 33% significantly lower odds (AOR = 0.67; 95% CI 0.50-0.90) of 30-day COPD mortality compared to hospitals without post-discharge TM services. DISCUSSION:Overall, hospitals that offer post-discharge TM services have seen an improvement in 30-day COPD mortality rates. However, those same hospitals have also experienced a significant increase in 30-day COPD readmissions. TM can potentially decrease mortality in patients recently admitted for acute exacerbation of COPD. The results provide further evidence that readmissions present a problematic assessment of health-care quality, as the need for readmission may or may not be directly related to the quality of care received while in hospital.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Hamadi HY,Martinez D,Xu J,Silvera GA,Mallea JM,Hamadi W,Li X,Li Y,Zhao Mdoi
10.1177/1357633X20970402subject
Has Abstractpub_date
2020-11-11 00:00:00pages
1357633X20970402eissn
1357-633Xissn
1758-1109pub_type
杂志文章abstract:INTRODUCTION:Telehealth technologies for rural patients are increasingly being used to deliver care within the Department of Veterans Affairs (VA), and treatment of hepatitis C virus (HCV) is no exception. However, data evaluating outcomes with telehealth compared with specialty clinics in the era of direct-acting anti...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19885750
更新日期:2019-12-06 00:00:00
abstract::The number of people with pacemakers has been steadily increasing over the past 20 years. At present there are about 2,500,000 in the world. All these patients must have a checkup twice a year in hospital, which involves the allocation of significant resources by the national health systems, not to speak of the inconv...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633971930931
更新日期:1997-01-01 00:00:00
abstract::We have developed a mobile pharmacy service system (MPSS) to deliver individualized pharmaceutical care via text messages sent to the mobile phones of patients. The text messages were: (1) reminders about medication - from the day following discharge, reminder messages were automatically sent to patients approximately...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2008.080406
更新日期:2008-01-01 00:00:00
abstract::It has been suggested that joint teleconsultations can improve communication at the primary-secondary care interface. We examined data from a qualitative analysis of social interactions in teleconsultations between specialists and general practitioners. The primary interaction was between specialists and patients. The...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763306777978425
更新日期:2006-01-01 00:00:00
abstract::Background Access to dental care is important for overall health, but can remain problematic for those in rural or isolated locations. It can be difficult to encourage clinicians to choose or continue a rural health career. Teledentistry is showing some promise as a strategy to support rural, isolated and new health c...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X16686776
更新日期:2018-04-01 00:00:00
abstract::Mentoring is a strategy that may assist the midwifery profession to support new graduates and midwives working in rural and remote areas. We conducted a survey of 1,577 New Zealand midwives about their opinions and experiences of mentoring. The questionnaire comprised 33 questions, nine of which were open questions. T...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763305775124731
更新日期:2005-01-01 00:00:00
abstract::Protocols are essential in a nurse-led minor injuries unit. They allow the identification of agreed steps that need to occur in a sequential and timely fashion for a given process. Protocols fall into four categories: (1) for the management of specific clinical conditions; (2) for ordering and interpreting radiographs...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991933693
更新日期:1999-01-01 00:00:00
abstract::The clinical effectiveness and costs of telemedicine in improving the referral process from primary to secondary care were examined in an eight-month prospective, comparative study with one-year follow-up. The internal-medicine outpatient clinics of two Finnish district hospitals were compared--Peijas Hospital (PH) wi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935996
更新日期:2000-01-01 00:00:00
abstract::Telepathology is currently performed only on prototype systems. The application of telepathology consultations differs from the conventional procedure because of the technical and cost restrictions. This paper outlines technical concepts and the principal hardware and software modules necessary for telemicroscopy equi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633961929736
更新日期:1996-01-01 00:00:00
abstract:INTRODUCTION:Telemedicine is the delivery of healthcare from a remote location using integrated computer/communication technology. The current COVID-19 pandemic has led to increased adoption of telemedicine with national orthopaedic governing bodies advocating its use, as evidence suggests that social distancing maybe ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20938241
更新日期:2020-08-06 00:00:00
abstract::A telemedicine link was installed between a mining town in Western Australia and clinical specialists in Perth, about 1800 km away. Standard commercial videoconferencing units connected by ISDN at 128 kbit/s were used. During a two-year period, 90 teleconsultations were carried out. About one-third of the injuries to ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633011937038
更新日期:2001-01-01 00:00:00
abstract::We have developed a system for remote three-dimensional reconstruction, which facilitates telediagnosis. The telereconstruction system is based on a computerized tomography (CT) scanner, a workstation connected to the CT scanner, a PC, which can be geographically far away from the workstation, and a computer program t...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935770
更新日期:2000-01-01 00:00:00
abstract::We evaluated the performance of an experimental teleradiology system based on a high-speed ATM backbone network. Image acquisition, transmission and the disk-to-display processing times were measured. Computerized tomography (CT) scans printed on 14 inch x 17 inch (36 cm x 43 cm) films were digitized and transferred o...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935149
更新日期:2000-01-01 00:00:00
abstract::Introduction: COVID-19 requires methods for screening patients that adhere to physical distancing and other Centers for Disease Control and Prevention guidelines. There is little data on the use of on-demand telehealth to meet this need.Methods: The functional performance of on-demand telehealth as a COVID-19 remote p...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20943339
更新日期:2020-07-23 00:00:00
abstract:INTRODUCTION:Sepsis is a life-threatening emergency. Together, early recognition and intervention decreases mortality. Protocol-based resuscitation in the emergency department (ED) has improved survival in sepsis patients, but guideline-adherent care is less common in low-volume EDs. This study examined the association...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19896667
更新日期:2020-01-05 00:00:00
abstract::Telemedicine and new media (e.g. the Internet, tele-teaching and tele-learning) are increasingly being used in medicine. We surveyed the awareness and acceptance of these developments on the part of medical students (n =750) at the University of Innsbruck. A 16-item questionnaire was handed out in randomly chosen medi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303769211283
更新日期:2003-01-01 00:00:00
abstract:INTRODUCTION:Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be efficacious for chronic tic disorders (CTDs), but utilization is limited by a lack of treatment providers and perceived financial and time burden of commuting to treatment. A promising alternative to in-person delivery is voice over...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X15593192
更新日期:2016-04-01 00:00:00
abstract::People with serious mental illness suffer from substantially higher rates of cardiometabolic morbidity and mortality than the general population. We have evaluated the efficacy of telemedicine for providing cardiometabolic risk management services compared to in-person care. A retrospective chart review was conducted ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X14555617
更新日期:2014-12-01 00:00:00
abstract::Sustainable telemedicine networks are not the norm but rather the exception. Unless a formal programme management model is in place, telemedicine cannot be integrated successfully into the mainstream of modern health care. Critical factors in achieving sustainable telemedicine have been identified. The programme manag...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991932649
更新日期:1999-01-01 00:00:00
abstract::We studied the patient experience of a telephone booster intervention, i.e. weekly reinforcement of the clinic advice regarding lifestyle modification advice to support weight loss. Forty six adults with Type 2 diabetes and a body mass index >28 kg/m(2) were randomised into either intervention (n = 25) or control (n =...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1258/jtt.2010.004016
更新日期:2010-01-01 00:00:00
abstract::A literature review was conducted to identify research into multiple-contact (i.e. extended) telemedicine interventions for substance-use disorder. The goals were: (1) to describe the methodology used to evaluate telemedicine interventions; (2) to identify the range of interventions which have been formally evaluated;...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/jtt.2011.110608
更新日期:2012-01-01 00:00:00
abstract::We compared two models of assistance (telecardiology versus usual care) for patients discharged after acute coronary syndrome (ACS), in the assessment of angina. Two hundred patients were randomized into two groups at discharge for ACS: Group A to telecardiology and Group B to usual care. Early hospital readmission (i...
journal_title:Journal of telemedicine and telecare
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1258/1357633054461967
更新日期:2005-01-01 00:00:00
abstract::A literature review was conducted to obtain a high-level view of the value of telemedicine in the management of five common chronic diseases (asthma, COPD, diabetes, heart failure, hypertension). A total of 141 randomised controlled trials (RCTs) was identified, in which 148 telemedicine interventions of various kinds...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/jtt.2012.120219
更新日期:2012-06-01 00:00:00
abstract::The aim of this review was to explore and summarise the evidence base for using mobile apps for the management of headache disorders. PubMed, Web of Science, Embase and Scopus were searched for studies reporting the use of mobile health applications (apps) for managing headache disorders. Different combinations of key...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X16673275
更新日期:2016-12-01 00:00:00
abstract::The Medical College of Georgia (MCG) Sickle Cell Center in Augusta, Georgia, USA, provides consultation and (in some cases) primary-care services to more than 1000 patients with sickle cell disease (SCD). Three SCD telemedicine clinic sites were established in rural areas of middle and southern Georgia, based on clini...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935923
更新日期:2000-01-01 00:00:00
abstract::We conducted a randomized controlled trial to test whether a Brief Mobile Treatment (BMT) intervention could improve outcomes relative to usual care among suicide attempters. The intervention included training in problem solving therapy, meditation, a brief intervention to increase social support as well as advice on ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1258/jtt.2012.SFT107
更新日期:2012-04-01 00:00:00
abstract::We describe the case of a US veteran from the war in Afghanistan with post-traumatic stress disorder (PTSD). The patient was undergoing treatment at home via telehealth as part of a research trial. In week six, he presented with severe suicidal ideation and required emergency hospitalization. Through a series of immed...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2011.101207
更新日期:2011-01-01 00:00:00
abstract::Introduction We have conducted a feasibility study on remote autopsy services in order to increase the flexibility of the service with benefits for teaching and interdepartmental collaboration. Methods Three senior staff pathologists, one senior autopsy technician and one junior resident participated in the study. Nin...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X17708947
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:In France, a specially-designed care plan for the elderly is generally based on an interdisciplinary, complex and time-consuming process. The health system assigns care throughout the social and health care services using multiple providers and sites. OBJECTIVE:The free website www.jesuisautonome.fr offers ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15572713
更新日期:2015-07-01 00:00:00
abstract::The government of Uzbekistan has recognized the need for telemedicine. With the support of several international groups, three telemedicine programmes have been established. This international assistance has provided equipment and training. There is a national network of emergency medical services, and two e-referral ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633053688697
更新日期:2005-01-01 00:00:00