The empirical foundations of telemedicine interventions for chronic disease management

Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith, Dale C. Alverson, Nina Antoniotti, William G. Barsan, Noura Bashshur, Edward M. Brown, Molly J. Coye, Charles R. Doarn, Stewart Ferguson, Jim Grigsby, Elizabeth A. Krupinski, Joseph C. Kvedar, Jonathan Linkous, Ronald C. Merrell, Thomas Nesbitt, Ronald Poropatich, Karen S. Rheuban, Jay H. SandersAndrew R. Watson, Ronald S. Weinstein, Peter Yellowlees

Research output: Contribution to journalReview article

Abstract

The telemedicine intervention in chronic disease management promises to involve patients in their own care, provides continuous monitoring by their healthcare providers, identifies early symptoms, and responds promptly to exacerbations in their illnesses. This review set out to establish the evidence from the available literature on the impact of telemedicine for the management of three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease. By design, the review focuses on a limited set of representative chronic diseases because of their current and increasing importance relative to their prevalence, associated morbidity, mortality, and cost. Furthermore, these three diseases are amenable to timely interventions and secondary prevention through telemonitoring. The preponderance of evidence from studies using rigorous research methods points to beneficial results from telemonitoring in its various manifestations, albeit with a few exceptions. Generally, the benefits include reductions in use of service: hospital admissions/re-admissions, length of hospital stay, and emergency department visits typically declined. It is important that there often were reductions in mortality. Few studies reported neutral or mixed findings.

Original languageEnglish (US)
Pages (from-to)769-800
Number of pages32
JournalTelemedicine journal and e-health : the official journal of the American Telemedicine Association
Volume20
Issue number9
DOIs
StatePublished - Sep 1 2014
Externally publishedYes

Fingerprint

Telemedicine
Disease Management
Chronic Disease
Length of Stay
Mortality
Hospital Departments
Secondary Prevention
Health Personnel
Chronic Obstructive Pulmonary Disease
Hospital Emergency Service
Heart Failure
Stroke
Morbidity
Costs and Cost Analysis
Research

Keywords

  • chronic disease
  • evidence
  • telehealth
  • telemedicine
  • telemonitoring
  • telepulmonology
  • telestroke

ASJC Scopus subject areas

  • Medicine(all)
  • Health Informatics
  • Health Information Management

Cite this

The empirical foundations of telemedicine interventions for chronic disease management. / Bashshur, Rashid L.; Shannon, Gary W.; Smith, Brian R.; Alverson, Dale C.; Antoniotti, Nina; Barsan, William G.; Bashshur, Noura; Brown, Edward M.; Coye, Molly J.; Doarn, Charles R.; Ferguson, Stewart; Grigsby, Jim; Krupinski, Elizabeth A.; Kvedar, Joseph C.; Linkous, Jonathan; Merrell, Ronald C.; Nesbitt, Thomas; Poropatich, Ronald; Rheuban, Karen S.; Sanders, Jay H.; Watson, Andrew R.; Weinstein, Ronald S.; Yellowlees, Peter.

In: Telemedicine journal and e-health : the official journal of the American Telemedicine Association, Vol. 20, No. 9, 01.09.2014, p. 769-800.

Research output: Contribution to journalReview article

Bashshur, RL, Shannon, GW, Smith, BR, Alverson, DC, Antoniotti, N, Barsan, WG, Bashshur, N, Brown, EM, Coye, MJ, Doarn, CR, Ferguson, S, Grigsby, J, Krupinski, EA, Kvedar, JC, Linkous, J, Merrell, RC, Nesbitt, T, Poropatich, R, Rheuban, KS, Sanders, JH, Watson, AR, Weinstein, RS & Yellowlees, P 2014, 'The empirical foundations of telemedicine interventions for chronic disease management', Telemedicine journal and e-health : the official journal of the American Telemedicine Association, vol. 20, no. 9, pp. 769-800. https://doi.org/10.1089/tmj.2014.9981
Bashshur, Rashid L. ; Shannon, Gary W. ; Smith, Brian R. ; Alverson, Dale C. ; Antoniotti, Nina ; Barsan, William G. ; Bashshur, Noura ; Brown, Edward M. ; Coye, Molly J. ; Doarn, Charles R. ; Ferguson, Stewart ; Grigsby, Jim ; Krupinski, Elizabeth A. ; Kvedar, Joseph C. ; Linkous, Jonathan ; Merrell, Ronald C. ; Nesbitt, Thomas ; Poropatich, Ronald ; Rheuban, Karen S. ; Sanders, Jay H. ; Watson, Andrew R. ; Weinstein, Ronald S. ; Yellowlees, Peter. / The empirical foundations of telemedicine interventions for chronic disease management. In: Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2014 ; Vol. 20, No. 9. pp. 769-800.
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