Health Informatics Discussion Forum

The issue that threatens the current model of healthcare is chronic illness caused by various hereditary and lifestyle conditions. Chronic illness is defined as a disease or condition that lasts for a long period of time or is marked by frequent recurrence. Examples of long term and chronic illness include diabetes, hypertension, chronic pain, obesity, asthma, and many more…

Home based patient monitoring for chronic disease management focuses on long-term health management rather than illness resolution. Disease management programs strive to improve the patient's outcomes and quality of life. Not surprisingly, disease management is most effective for chronic diseases, which do not have a cure. The disease management model helps patients alter behaviors, manage their health and control symptoms by providing patient guidance and education.

Successfully managing a chronic disease requires:

    • Open communication between the patient and caregiver
    • Patient motivation and participation in his/her own care
    • Vigilance on the part of the clinician

Advantages of home based patient monitoring includes:

  • Customized applications to support remote patient monitoring enabling effective in-home management of chronic diseases
  • Provides a fully integrated health data system with analysis, reporting and alert functions. The integrated system provides alerts when health conditions decline, allowing patients, caregivers and clinicians to intervene and modify treatment plans as needed. Thus promoting patient peace of mind through early detection warnings and alerts
  • Integrates tele-health and tele-care data to show correlations between a patient’s health and daily activity/rest patterns
  • Supports evidence-based clinical decisions by leveraging electronic data and patient profile
  • Reduces cost by decreased rates of emergency department and hospital services
  • Reduces the burden on formal and informal caregivers

However when we discuss home-based patient monitoring in context of developing countries many other factors may outweigh the possible benefits and these factors need the utmost consideration and may include:

  • Socio-economic Status
  • Educational background
  • Access and Affordability of such technology
  • Patients’ and caregivers’ efficiency in use of such technologies
  • Cost of such technologies
  • Ease of assistance by the service providers

We open this discussion for all the concerns to provide their valuable feedback about usage of such home-based patient monitoring solutions they have come across, their possible benefits, concerns and challenges.

 

‘Sharing is Strengthening’

Thanking You!

 

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Replies

  • An excellent post and a very important topic. My synopsis of the medical literature on home telemonitoring is that the evidence is weak that technology by itself positively affects true patient outcomes. If you add a human (usually a nurse) who supervises the telemonitoring process then you start to see improvement in process measures and patient outcomes. In developed and developing countries the insurers and/or government may not pay for the home technology without clear cut benefit and reasonable return on investment (ROI). I think we need more and better studies of home telemonitoring before we can recommend it across the board......Bob
    • Hi Bob, is there a good review article that summarises the research evidence about this? Many of the articles I've read have been relatively small-scale trials with limited power. Another issue is that the technology changes quickly so what home-telemonitoring meant a few years ago might be quite different from what it means today.
    • Dear Sir,

       

      Nice to have your comments on the forum. Do the education level, socio-economic status of the patient and the health education or awareness about the proven home telemonitoring technology can help increase its acceptance?

       

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