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11
February, 2012
Saturday

Digital Homecare

Telemonitoring in chronic heart failure

Hasan A, Paul V. European Heart Journal, 32(12)

Clinical management of refractory heart failure remains challenging, with a high rate of rehospitalizations despite advances in medical and device therapy. Care can be provided in person, via telehomecare (by telephone), or telemonitoring, which involves wireless technology for remote follow-up. Telemonitoring wirelessly transmits parameters such as weight, heart rate, or blood pressure for review by health-care professionals. Cardiac implantable devices (defibrillators and cardiac resynchronization therapy) also transmit continually interrogated physiological data, such as heart rate variability or intrathoracic impedance, which may be of value to predict patients at greater risk of hospitalization for heart failure.
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16 January 2012 | No Comments »
Categories: Science | Tag(s): Chronic Heart Failure, Digital Homecare, Telemedicine, Telemonitoring

Home monitoring for heart failure management

Bui AL, Fonarow GC. Journal of the American College of Cardiology, 59(2)

With a prevalence of 5.8 million in the United States alone, heart failure (HF) is a common syndrome associated with substantial morbidity, mortality, and healthcare expenditures. Close to 1 million HF hospitalizations occur annually in the United States, with the majority of these resulting from worsening congestion in patients previously diagnosed with HF. An estimated $37.2 billion is spent each year on HF in the United States. These statistics emphasize the need to develop and implement more effective strategies to assess, monitor, and treat HF. It has also become increasingly apparent that interventions geared toward identifying and monitoring subclinical congestion would be of value in the home management of chronic HF.
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16 January 2012 | No Comments »
Categories: Science | Country: United States | Tag(s): Chronic Heart Failure, Digital Homecare, Disease Management, Telemedicine, Telemonitoring

Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis

Polisena J et al, Journal of Telemedicine and Telecare, 16(3)

We conducted a systematic review of the literature about home telehealth for chronic obstructive pulmonary disease (COPD) compared with usual care. An electronic literature search identified 6241 citations. From these, nine original studies (10 references) relating to 858 patients were selected for inclusion in the review. Four studies compared home telemonitoring with usual care, and six randomized controlled trials compared telephone support with usual care.
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9 January 2012 | No Comments »
Categories: Science | Tag(s): COPD, Digital Homecare, Telemedicine

Berg: 2.2M patients remotely monitored globally

Brian Dolan, mobihealthnews

“Approximately 2.2 million patients globally used a home-based remote monitoring device as of the end of 2011, according to a recent report from Berg Insight. The metric only accounts for devices that use fixed wireless, cellular, and fixed line connections.
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3 January 2012 | No Comments »
Categories: News | Tag(s): Chronic Diseases, Digital Homecare, mHealth, Telemedicine, Telemonitoring

Telehealth technologies reduce mortality rates

Janet Fang, Smart Planet

“Patients using home healthcare technologies have lower mortality rates, fewer emergency admissions, and shorter hospital stays, according to a UK Department of Health clinical study.
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11 December 2011 | No Comments »
Categories: News | Country: UK | Tag(s): Benefits, Digital Homecare, Telehealth, Telemedicine, trials

Designing health technology for people at home

Jane Sarasohn-Kahn, Health Populi

“The Internet, broadband, mobile health platforms, and consumers’ demand for more convenient health care services are fueling the development and adoption of health technologies in peoples’ homes. However, designing products that people will delight in using is based on incorporating human factors in design.
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30 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Digital Homecare

A case for cameras — augmenting the view of small assisted living

Laurie Orlov, Aging In Place Technology Watch

“Should video monitoring be required in small assisted living homes? In recent Senate testimony, ALFA president Rick Grimes sounded a bit defensive about the regulatory oversight of assisted living facilities (ALFs) in Florida (aka ‘group homes’ in other states).
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10 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Ambient-Assisted-Living, Digital Homecare, Elderly, Monitoring

Steve Jobs and e-health – The future of medicine

iHealth France, openPR

“Mobile devices created by Steve Jobs, including the iPad, iPhone and iPod touch – and health applications developed specifically for these devices – have allowed doctors, nurses and patients to understand, access and share clinical data in a much easier manner than before. Similarly, medical information and data found on these devices have improved the way in which doctors perform their clinical duties on a daily basis and have improved the general level of healthcare.
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3 November 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Digital Homecare, mHealth, Telemedicine

Will ACO implementation improve patient health, or just cut costs?

Don Fluckinger, SearchHealthIT

“The Partners Healthcare Connected Health Symposium 2011 showcased demonstrations of technology’s incredible potential for extending health care into the patient’s home.
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31 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): ACO, Digital Homecare, Implementation

OTN launches Web-based telemedicine service

Rosie Lombardi, Technology for Doctors Online

“The Ontario Telemedicine Network (OTN) is going mainstream next year. The non-profit is expanding its teleconferencing services to make it accessible to any doctor or patient who has a Web-enabled computer or device.
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28 October 2011 | No Comments »
Categories: News | Country: Canada | Tag(s): Digital Homecare, Telemedicine, Web

For seniors wanting to ‘age gracefully at home,’ there’s Virtual Health

Eric Wicklund, Healthcare IT News

“Developers of a subscription-based telehealth service launched today in New York say it will give the nation’s ever-growing ranks of seniors the ability to “age gracefully at home.”
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5 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Assistive Technology, Digital Homecare, Elderly, Telehealth, Telemedicine, Virtual

The Videocommunication to Support Care Delivery to Independently Living Seniors

Willems CG et al, Handbook of Digital Homecare - Successes and Failures, 2011

Demographic trends in southern Netherlands predict an increasing aging population in the next decade. There will not be enough health care providers available to meet the growing demand of care of elderly. Therefore, there is a need to reorganize the Dutch health care system in a more efficient way. In this process, innovative technologies can play an important role. Videocommunication enables elderly living at home to contact the health care organization by a 24/7 screen-to-screen video communication. Several care organizations started projects to implement videocommunication. Different combinations of technology were used, ranging from high speed remote controlled cameras combined with a set top box connected to a regular TV set, to a webcam using a computer based internet application. These experiments were enabled by grants from the Dutch government to support the investment by care organizations, as well as an experimental provision to arrange for the re-imbursement of the services.
[ More ]

4 October 2011 | No Comments »
Categories: Science | Country: Netherlands | Tag(s): Digital Homecare, Elderly, Video

The Epilepsy Project in the Republic of Ireland: Lessons for Digital Homecare

Fisk MJ. Handbook of Digital Homecare - Successes and Failures, 2011

Sometimes overlooked from within the range of long term conditions that are being addressed via telecare (care service provision mediated by telecommunications technologies) are the needs of people with epilepsy. This chapter reports on a telecare project (the Epilepsy Project) in the Republic of Ireland that, through the use of bed epilepsy sensors, supported the needs of people with epilepsy and their carers at home. The service developed in the Project is now mainstreamed but operates on a relatively small scale.
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4 October 2011 | No Comments »
Categories: Science | Country: Ireland | Tag(s): Digital Homecare, Epilepsy, Telecare, Telemedicine

Handbook of Digital Homecare. Successes and Failures

Lodewijk Bos, ICMCC

Just published: Handbook of Digital Homecare. Successes and Failures.
[ More ]

29 September 2011 | No Comments »
Categories: News | Tag(s): Digital Homecare

Woman-owned and operated start-up AFrameDigital has developed a platform for wearable body sensor network technology

Brian Edwards, iMedicalApps

“By 2020 it is estimated that 12 million elderly Americans will require long-term care and constant monitoring. This presents a tremendous opportunity for a company to develop a minimally invasive solution for monitoring patients outside of a clinical setting.
[ More ]

13 September 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Digital Homecare, Elderly, mHealth, Monitoring, Sensors, Wearable

Spurring the market for high-tech home health care

Basel Kayyali, Zeb Kimmel, and Steve van Kuiken, McKinsey Quarterly

“On the surface, technology-enabled home health care should be thriving in the United States. The country’s aging population and the transformation of acute illnesses such as heart failure into chronic diseases mean that the number of patients is growing.
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9 September 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Digital Homecare, Effectiveness, Elderly

A High Road to Dutch Healthcare Reform

Dumaij ACM et al, Handbook of Digital Homecare - Successes and Failures, 2011

This study aims to assess the adoption potential of healthcare innovations in their infancy. Such an assessment is useful, since the context of the innovations change rapidly as a result of the health care reform process. Successful innovations comply to a complex system of social, technical, and financial attributes. First we narrow down the vast amount of innovations in healthcare into a review set of innovations and select attributes of successful innovations from literature. Next the compliance of the review set with the attributes is assessed by an expert panel.
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4 September 2011 | No Comments »
Categories: Science | Country: Netherlands | EHR: EHR | Tag(s): Digital Homecare, Innovation, Self Management

Healthcare Prosumerism

Dumaij ACM, Blank JLT. Future Visions on Biomedicine and Bioinformatics 1, 2011

A vision is presented to relief the healthcare system of the top of its burden by bringing healthcare closer to the customer—to bring healthcare into the home—with healthcare prosumers rather than consumers, priority medical devices rather than scarcity of labour and market incentives to create fair prices;
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4 September 2011 | No Comments »
Categories: Science | Tag(s): Devices, Digital Homecare

Perception, satisfaction and utilization of the VALUE home telehealth service

Finkelstein SM et al, Journal of Telemedicine and Telecare, 17(6)

We conducted a randomized controlled trial to evaluate the perception, satisfaction and utilization of a home telehealth service for frail elderly people living independently in their home communities. Control group subjects continued with their usual care and intervention group subjects were able to supplement their usual care with the use of a web portal. The web portal allowed videoconferencing and electronic messaging between home care nurses and clients, ordering health-related and home care services, access to health-related information and general access to the Internet. A total of 99 eligible people (59 female, 40 male) from one urban and one rural study site agreed to participate in the study. Eighty-four subjects were active participants for nine months.
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3 September 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Digital Homecare, Elderly, Messaging, Portal, Rural, Satisfaction, Telemedicine, Urban, Videoconferencing

Sanidade reforzará la atención a domicilio de pacientes crónicos para aliviar los hospitales

Selina Otero, laopinioncoruna.es

“Sanidade propone el control de los pacientes mayores en casa, “con servicios de seguimiento de los pacientes crónicos; el refuerzo de las unidades de hospitalización a domicilio y la promoción del rol de los profesionales de enfermería”, según especifica en el documento elaborado por el Sergas en base a la Estrategia 2014 para la Mesa del Diálogo Social.
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31 August 2011 | No Comments »
Categories: News | Country: Spain | Tag(s): Chronic Diseases, Digital Homecare, Monitoring, Telemedicine

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