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Telemonitoring: Criteria for a Sustainable Implementation

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Challenges and Opportunities in Health Care Management

Abstract

The use of information and communication technologies appears to be a main lever to ensure effectiveness and efficiency of modern health care systems. In particular, telemonitoring is one of the most promising concepts in enabling patients’ self-management, relocating medical services and improving equity in access to high quality care. However, a large-scale adoption of telemonitoring solutions across Europe has still barely been accomplished. Considering the several dimensions of a system’s implementation, this chapter provides insight on the reasons for the slow diffusion of these innovations in the health sector. Subsequently it illustrates how to take advantage of these systems and outlines what the different stakeholders need to contribute in order to bridge the gap between pilot projects and the diffusion of telemonitoring solutions.

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References

  • Bower P, Cartwright M, Hirani SP, Barlow J, Hendy J, Knapp M, Henderson C, Rogers A, Sanders C, Bardsley M, Steventon A, Fitzpatrick R, Doll H, Newman S (2011) A comprehensive evaluation of the impact of Telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial. BMC Health Serv Res 11(184):1–12

    Google Scholar 

  • Chan L, Hart LG, Goodman DC (2006) Geographic access to health care for rural medicare beneficiaries. J Rural Health 22(2):140–146

    Article  Google Scholar 

  • Chaudhry SI, Phillips CO, Stewart SS, Riegel B, Mattera JA, Jerant AF, Krumholz HM (2007) Telemonitoring for patients with chronic heart failure: a systematic review. J Card Fail 13(1):56–62

    Article  Google Scholar 

  • Chaudhry SI, Mattera JA, Curtis JP, Spertus JA, Herrin J, Lin Z, Phillips C, Hodshon B, Cooper LS, Krumholz HM (2010) Telemonitoring in patients with heart failure. N Engl J Med 363(24):2301–2309

    Article  Google Scholar 

  • Clark RA, Inglis SC, McAlister FA, Cleland JG, Stewart S (2007) Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis. BMJ 334(7600):942

    Article  Google Scholar 

  • Currell R, Urquhart C, Wainwright P, Lewis R (2010) Telemedicine versus face to face patient care: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2(2):1–22

    Google Scholar 

  • Dávalos ME, French MT, Burdick AE, Simmons SC (2009) Economic evaluation of telemedicine: review of the literature and research guidelines for benefit–cost analysis. Telemed J E Health 15(10):933–948

    Article  Google Scholar 

  • Ekeland AG, Bowes A, Flottorp S (2010) Effectiveness of telemedicine: a systematic review of reviews. Int J Med Inform 79(11):736–771

    Article  Google Scholar 

  • Gagnon MP, Orruño E, Asua J, Abdeljelil AB, Emparanza J (2012) Using a modified technology acceptance model to evaluate healthcare professionals’ adoption of a new telemonitoring system. Telemed J E Health 18(1):54–59

    Article  Google Scholar 

  • Gastaldi L, Lettieri E, Corso M, Masella C (2012) Performance improvement in hospitals: leveraging on knowledge asset dynamics through the introduction of an electronic medical record. Measuring Business Excellence 6(4):14–30

    Google Scholar 

  • Goddard M, Smith P (2001) Equity of access to health care services: theory and evidence from the UK. Soc Sci Med 53(9):1149–1162

    Article  Google Scholar 

  • Häckl D (2010) Neue Technologien im Gesundheitswesen: Rahmenbedingungen und Akteure. Dissertationsschrift, Gabler, Wiesbaden

    Google Scholar 

  • Hailey D, Roine R, Ohinamaa A (2002) Systematic review of evidence for benefits of telemedicine. J Telemed Telecare 8(1):1–7

    Article  Google Scholar 

  • Haynes R, Gale S (2000) Deprivation and poor health in rural areas: inequalities hidden by averages. Health Place 6(4):275–285

    Article  Google Scholar 

  • Jaana M, Paré G, Sicotte C (2009) Home telemonitoring for respiratory conditions: a systematic review. Am J Manag Care 15(5):313–320

    Google Scholar 

  • Masella C, Zanaboni P (2008) Assessment models for telemedicine services in national health systems. Int J Healthc Technol Manage 9(5/6):446–472

    Article  Google Scholar 

  • Miller EA (2003) The technical and interpersonal aspects of telemedicine: effects on doctor–patient communication. J Telemed Telecare 9(1):1–7

    Article  Google Scholar 

  • Nangalia V, Prytherch DR, Smith GB (2010) Health technology assessment review: remote monitoring of vital signs–current status and future challenges. Crit Care 14(5):233

    Article  Google Scholar 

  • Nicolini D (2006) The work to make telemedicine work: a social and articulative view. Soc Sci Med 62(11):2754–2767

    Article  Google Scholar 

  • Pammolli F, Riccaboni M, Magazzini L (2012) The sustainability of European health care systems: beyond income and aging. Eur J Health Econ 13(5):623–634

    Article  Google Scholar 

  • Paré G, Jaana M, Sicotte C (2007) Systematic review of home telemonitoring for chronic diseases: the evidence base. J Am Med Inform Assoc 14(3):269–277

    Article  Google Scholar 

  • Paré G, Moqadem K, Pineau G, St-Hilaire C (2010) Clinical effects of home telemonitoring in the context of diabetes, asthma, heart failure and hypertension: a systematic review. J Med Internet Res 12(2):e21

    Article  Google Scholar 

  • Rogers EM (2005) Diffusion of innovations, 5th edn. Free Press, New York, NY

    Google Scholar 

  • Rojas SV, Gagnon MP (2008) A systematic review of the key indicators for assessing telehomecare cost-effectiveness. Telemed J E Health 14(9):896–904

    Article  Google Scholar 

  • Rygh EM, Hjortdahl P (2007) Continuous and integrated health care services in rural areas. A literature study. Rural Remote Health 7(3):766

    Google Scholar 

  • Seto E (2008) Cost comparison between telemonitoring and usual care of heart failure: a systematic review. Telemed J E Health 14(7):679–686

    Article  Google Scholar 

  • Simoens S (2004) Experiences of organization for economic cooperation and development countries with recruiting and retaining physicians in rural areas. Aust J Rural Health 12(3):104–111

    Article  Google Scholar 

  • Strauss AL, Corbin J (1990) Basic of qualitative research. SAGE, Newbury Park, CA

    Google Scholar 

  • Tidd J (ed) (2010) Gaining momentum: managing the diffusion of innovations, vol 15, Technology management. Imperial College Press, London

    Google Scholar 

  • Tudiver F, Wolff LT, Morin PC, Teresi J, Palmas W, Starren J, Shea S, Weinstock RS (2007) Primary care providers’ perceptions of home diabetes telemedicine care in the IDEATel project. J Rural Health 23(1):55–61

    Article  Google Scholar 

  • Wootton R (2012) Twenty years of telemedicine in chronic disease management—an evidence synthesis. J Telemed Telecare 18(4):211–220

    Article  Google Scholar 

  • World Health Organization (2010) Telemedicine: opportunities and developments in member states—report on the second global survey on eHealth. World Health Organization. http://www.who.int/goe/publications/goe_telemedicine_2010.pdf

  • Yellowlees PM (2005) Successfully developing a telemedicine system. J Telemed Telecare 11(7):331–335

    Article  Google Scholar 

  • Zanaboni P (2010) Assessment models for telemedicine services in national health systems. PhD Thesis, Politecnico di Milano, Department of Management, Economics and Industrial Engineering, pp 1–195

    Google Scholar 

  • Zanaboni P, Landolina M, Marzegalli M, Lunati M, Perego GB, Guenzati G, Curnis A, Valsecchi S, Borghetti F, Borghi G, Masella C (2013) Cost-utility analysis of the EVOLVO study on remote monitoring for heart failure patients with implantable defibrillators: randomized controlled trial. J Med Internet Res 15(5):e106

    Article  Google Scholar 

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Correspondence to Ines Weinhold .

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Weinhold, I., Gastaldi, L., Häckl, D. (2015). Telemonitoring: Criteria for a Sustainable Implementation. In: Gurtner, S., Soyez, K. (eds) Challenges and Opportunities in Health Care Management. Springer, Cham. https://doi.org/10.1007/978-3-319-12178-9_24

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