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.

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Information & Authors

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Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 20Issue Number 9September 2014
Pages: 769 - 800
PubMed: 24968105

History

Published online: 3 September 2014
Published in print: September 2014
Published ahead of print: 26 June 2014
Accepted: 28 May 2014
Received: 28 May 2014

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Authors

Affiliations

Rashid L. Bashshur
E-Health Center, University of Michigan Health System, Ann Arbor, Michigan.
Gary W. Shannon
Department of Geography, University of Kentucky, Lexington, Kentucky.
Brian R. Smith
E-Health Center, University of Michigan Health System, Ann Arbor, Michigan.
Dale C. Alverson
University of New Mexico, Albuquerque, New Mexico.
Nina Antoniotti
Marshfield Clinic, Marshfield, Wisconsin.
William G. Barsan
University of Michigan Health System, Ann Arbor, Michigan.
Noura Bashshur
E-Health Center, University of Michigan Health System, Ann Arbor, Michigan.
Edward M. Brown
Ontario Telemedicine Network, Toronto, Ontario, Canada.
Molly J. Coye
University of California at Los Angeles, Los Angeles, California.
Charles R. Doarn
Family and Community Medicine, University of Cincinnati, Cincinnati, Ohio.
Stewart Ferguson
Alaska Native Tribal Health Consortium, Anchorage, Alaska.
Jim Grigsby
University of Colorado Denver, Denver, Colorado.
Elizabeth A. Krupinski
University of Arizona, Tucson, Arizona.
Joseph C. Kvedar
Partners Health Care, Harvard University, Cambridge, Massachusetts.
Jonathan Linkous
American Telemedicine Association, Washington, D.C.
Ronald C. Merrell
Virginia Commonwealth University, Richmond, Virginia.
Thomas Nesbitt
University of California Davis, Sacramento, California.
Ronald Poropatich
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Karen S. Rheuban
University of Virginia, Charlottesville, Virginia.
Jay H. Sanders
The Global Telemedicine Group, McLean, Virginia.
Andrew R. Watson
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Ronald S. Weinstein
University of Arizona, Tucson, Arizona.
Peter Yellowlees
University of California Davis, Sacramento, California.

Notes

Address correspondence to:Rashid L. Bashshur, PhDSenior Advisor for e-HealthUniversity of Michigan Health System300 North Ingalls, SPC 5402Ann Arbor, MI 48109-5402E-mail: [email protected]

Disclosure Statement

J.S. is an employee of The Global Telemedicine Group. No competing financial interests exist for any of the other authors.

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