The socio-economic impact of telehealth: A systematic review
Journal of Telemedicine and TelecarePublished 1 December 2003
P. A. Jennett, L Affleck Hall, David Hailey, Arto Öhinmaa, Carla Anderson, Roger E. Thomas
Citations411
SJR quartileQ1
SJR score1.38
SNIP1.61
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The main benefits identified were: increased access to health services, cost-effectiveness, enhanced educational opportunities, improved health outcomes, better quality of care, betterquality of life and enhanced social support.
Abstract
We reviewed the socio-economic impact of telehealth, focusing on nine main areas: paediatrics, geriatrics, First Nations (i.e. indigenous peoples), home care, mental health, radiology, renal dialysis, rural/remote health services and rehabilitation. A systematic search led to the identification of 4646 citations or abstracts; from these, 306 sources were analysed. A central finding was that telehealth studies to date have not used socio-economic indicators consistently. However, specific telehealth applications have been shown to offer significant socio-economic benefit, to patients and families, health-care providers and the health-care system. The main benefits identified were: increased access to health services, cost-effectiveness, enhanced educational opportunities, improved health outcomes, better quality of care, better quality of life and enhanced social support. Although the review found a number of areas of socio-economic benefit, there is the continuing problem of limited generalizability.
Keywords
MedicineHealth Professions
Progress in Neurology and PsychiatryCochrane Database of Systematic Reviews
4,686 Citations2011I Marc, N Toureche +1 more
This review considers studies for this review based on the findings of a previous review in which new studies sought but none found were found.
Exploratory Research in the Social Sciences
1,671 Citations2001Robert A. Stebbins
BMJSystematic review of cost effectiveness studies of telemedicine interventions
526 Citations2002Pamela Whitten, Frances S Mair +4 more
There is no good evidence that telemedicine is a cost effective means of delivering health care, and the majority of articles reviewed here provided no details of sensitivity analysis, a method all economic analyses should incorporate.
BMJRandomised trial of monitoring, feedback, and management of care by telephone to improve treatment of depression in primary care
523 Citations2000Gwendal Simon
A programme of systematic follow up and care management by telephone, however, significantly improved outcomes at modest cost.
American Journal of HypertensionA Telecommunications System for Monitoring and Counseling Patients With Hypertension Impact on Medication Adherence and Blood Pressure Control
513 Citations1996Robert H. Friedman
Archives of Internal MedicineEffect of a Standardized Nurse Case-Management Telephone Intervention on Resource Use in Patients With Chronic Heart Failure
472 Citations2002Bárbara Riegel, Beverly Carlson +4 more
The reduction in hospitalizations, costs, and other resource use achieved using standardized telephonic case management in the early months after a heart failure admission is greater than that usually achieved with pharmaceutical therapy and comparable with other disease management approaches.
Archives of Family MedicineEfficacy of Nurse Telehealth Care and Peer Support in Augmenting Treatment of Depression in Primary Care
465 Citations2000Enid M. Hunkeler
Nurse telehealth care improves clinical outcomes of antidepressant drug treatment and patient satisfaction and fits well within busy primary care settings, as well as within trained health plan members recovered from depression.
Journal of Telemedicine and TelecareSystematic review of evidence for the benefits of telemedicine
405 Citations2002David Hailey, Risto P. Roine +1 more
Although useful clinical and economic outcomes data have been obtained for some telemedicine applications, good-quality studies are still scarce and the generalizability of most assessment findings isratherlimited.
Diabetes CareImpact of Automated Calls With Nurse Follow-Up on Diabetes Treatment Outcomes in a Department of Veterans Affairs Health Care System: A randomized controlled trial
333 Citations2001John D. Piette, Miles Weinberger +2 more
This intervention improved the quality of VA diabetes care and replicated findings from the prior county clinic trial, although intervention-control differences in the current study were smaller because of the relatively good self-care and health status among thecurrent study's enrollees.
Medical CareReducing the Cost of Frequent Hospital Admissions for Congestive Heart Failure
318 Citations2001Anthony Jerant, Rahman Azari +1 more
Substantial reductions in hospital readmissions, emergency visits, and cost of care for patients with CHF might be achieved by widespread deployment of distance technologies to provide posthospitalization monitoring.
Archives of Internal MedicineProlonged Beneficial Effects of a Home-Based Intervention on Unplanned Readmissions and Mortality Among Patients With Congestive Heart Failure
281 Citations1999Simon Stewart, Annette Joy Vandenbroek +2 more
Beneficial effects of a postdischarge HBI were sustained for at least 18 months, with a significant reduction in unplanned readmissions, total hospital stay, hospital-based costs, and mortality.
Medical CareThe Effect of Automated Calls With Telephone Nurse Follow-Up on Patient-Centered Outcomes of Diabetes Care
263 Citations2000John D. Piette, Morris Weinberger +1 more
This intervention had several positive effects on patient-centered outcomes of care but no measurable effects on anxiety or HRQL.
JAMAElectronic Communication With Patients
258 Citations1997E. Andrew Balas
The benefits of distance technologies in facilitating communication between clinicians and patients indicate that application of telemedicine should not be limited to physician-to-physician communication.
American Heart JournalPrevention of hospitalizations for heart failure with an interactive home monitoring program
240 Citations1998Nihir B. Shah, Elaine Der +3 more
Preliminary experience suggests that close telephone monitoring by personnel from an independent service can prevent hospitalizations for heart failure among both recently discharged patients and ambulatory outpatients and among both elderly and middle-aged persons.
PEDIATRICSBaby CareLink: Using the Internet and Telemedicine to Improve Care for High-Risk Infants
240 Citations2000James E. Gray, Charles Safran +5 more
The data suggest the use of telemedicine and the Internet support the educational and emotional needs of families facilitating earlier discharge to home of VLBW infants as well as lowering costs associated with hospital to hospital transfer.
BMC Medical Informatics and Decision MakingClinical outcomes resulting from telemedicine interventions: a systematic review
236 Citations2001William Hersh, Mark Helfand +5 more
British Journal of DermatologyTeledermatology: a review
219 Citations2001D.J. Eedy, Richard Wootton
Evidence suggests that teledermatology will become increasingly utilized and incorporated into more conventional dermatology service delivery systems, and much more research is needed into the outcomes and limitations of such a service and its effect on waiting lists, as well as possible cost benefits for patients, primary health care professionals and dermatology departments.
Telemedicine Journal and e-HealthLimitations of Patient Satisfaction Studies in Telehealthcare: A Systematic Review of the Literature
215 Citations2001Tracy Williams, Carl May +1 more
Progression of telemedicine services from "trial" status to routine health service must be supported by improved research into patients' satisfaction with telemedics, and factors that influence patient acceptance of teleomedicine are indicated.
European Journal of Heart FailureCompliance and Effectiveness of 1 Year's Home Telemonitoring. The Report of a Pilot Study of Patients with Chronic Heart Failure
198 Citations2001Simon de Lusignan, Sally Wells +3 more
Patients with a diagnosis of heart failure, registered at the study practice, were recruited into the study and randomised into telemonitored patients who measured pulse, BP, weight and video consulted, and controls.
PEDIATRICSImpact of Telemedicine on the Practice of Pediatric Cardiology in Community Hospitals
166 Citations2002Craig Sable, Susan D. Cummings +6 more
The largest series to evaluate the impact of telemedicine on delivery of pediatric cardiac care in community hospitals is reported, suggesting that telecardiology is accurate, improves patient care, is cost-effective, enhances echocardiogram quality, and prevents unnecessary transports of neonates in locations that are not served by pediatric cardiologists.
Journal of Medical SystemsTelemedicine effects: Cost, quality, and access
164 Citations1995Rashid L. Bashshur
It is proposed that the effects of telemedicine on cost, quality, and accessibility are interconnected, and a comprehensive assessment should incorporate all three aspects, each considered from the perspectives of clients, providers, and society.
American Heart JournalEffect of a home monitoring system on hospitalization and resource use for patients with heart failure
160 Citations1999Paul A. Heidenreich, Christine M. Ruggerio +1 more
These findings suggest that a multidisciplinary program of patient education, monitoring, and physician notification can reduce resource use in patients with heart failure managed in a community setting.
Journal of Telemedicine and TelecareTelemedicine and doctor-patient communication: an analytical survey of the literature
158 Citations2001Edward Alan Miller
Verbal content analysis is important for the development of interventions aimed at facilitating doctor-patient telecommunication, with all but two of the 23 categories analysed (non-verbal behaviour and lack of touch) reporting more positive than negative results.
Military MedicineTelemedicine Improved Diabetic Management
134 Citations2000Warren L. Whitlock, Lex Brown +6 more
Based on the experience, a functionally based telemedicine classification system is presented to improve the application of electronic medicine in future studies.
Telemedicine Journal and e-HealthCost Analysis of Telehomecare
132 Citations2001Kathryn H. Dansky, Liisa Palmer +2 more
The results show that, while telehomecare imposes additional expenses for care delivery, it contributes substantial savings without compromising quality, and it is found that the financial benefit increases exponentially as the duration of the patient care episode increases.
Public Health ReportsTelehealth: Reaching Out to Newly Injured Spinal Cord Patients
130 Citations2001Victoria Phillips, Susan Vesmarovich +3 more
Preliminary evidence suggests that in-home telephone or video-based interventions do improve health-related outcomes for newly injured SCI patients.
Telemedicine Journal and e-HealthThe Effect of Telepharmacy Counseling on Metered-Dose Inhaler Technique among Adolescents with Asthma in Rural Arkansas
128 Citations2001Ann Bynum, D. Hopkins +3 more
The study findings demonstrated that patient education provided by pharmacists via interactive compressed video was superior to education provided via written instructions on an inhaler package insert in this rural, adolescent, predominantly African-American population.
Journal of the American Medical Informatics AssociationApplications of Telemedicine and Telecommunications to Disaster Medicine: Historical and Future Perspectives
127 Citations1999Victoria Garshnek, Frederick M. Burkle
Emergency care providers must begin to plan effectively to utilize disaster-specific telemedicine applications to improve future outcomes, based on lessons learned from a decade of civilian and military disaster (wide-area) telemedICine deployments.
Journal of Telemedicine and TelecareA prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland
120 Citations2001D R Elford, Henry S. White +4 more
Evaluated user satisfaction with a PC-based videoconferencing system used for child psychiatry assessments and performed a cost analysis, finding that most were very satisfied or satisfied with the system.
Journal of Telemedicine and TelecareImprovement in diabetes control with a monitoring system based on a hand-held, touch-screen electronic diary
117 Citations2001Michael Tsang, Maisy Pik Hung Mok +4 more
A significant improvement in glycaemic control was achieved during intervention compared with control periods and the DMS was also highly acceptable: 95% patients found it easy to operate while 63% found it useful.
PubMedTelephone counseling for patients with minor depression: preliminary findings in a family practice setting.
112 Citations1997Denis J. Lynch, Marijo Tamburrino +1 more
The findings indicate that brief, telephone-based treatment for minor depression in family practice settings may be an efficient and effective method to decrease symptoms of depression and improve functioning.
Journal of Gerontological NursingAn Intervention Study to ENHANCE MEDICATION COMPLIANCE in Community-Dwelling Elderly Individuals
111 Citations1999Terry Fulmer, Penny H. Feldman +5 more
Telephone interventions are effective in enhancing medication compliance and may prove more cost effective than clinic visits or preparation of pre-poured pill boxes in the home.
Journal of Pediatric SurgeryParticipant satisfaction and comfort with multidisciplinary pediatric telemedicine consultations
109 Citations1999Paul T. Dick, Robert M. Filler +1 more
In addition to providing financial savings, TMC is well accepted by families and children, and those using this new technology must give special attention to issues of patient privacy, camera comfort, and specialist comfort.
Journal of Telemedicine and TelecareAn evaluation of the first year's experience with a low-cost telemedicine link in Bangladesh
109 Citations2001David Vassallo, Farzana Hoque +4 more
In July 1999, the Swinfen Charitable Trust in the UK established a telemedicine link in Bangladesh, between the Centre for the Rehabilitation of the Paralysed in Dhaka and medical consultants abroad, which used a digital camera to capture still images, which were then transmitted by email.
Journal of Telemedicine and TelecareCost evaluation of a telepsychiatry service in northern Queensland
99 Citations1998Paul Trott, Ilse Blignault
A simple comparison of the costs associated with delivering a mental health service by telepsychiatry and by conventional methods showed considerable savings from reduced travel by patients and health-care workers.
Harvard Review of PsychiatryTelepsychiatry at Forty: What Have We Learned?
96 Citations1997Lee Baer, Roderick D. Elford +1 more
Although the conclusions of all studies reviewed recommend the use of telepsychiatry, evidence currently available is insufficient to suggest its widespread implementation and it is recommended that telePsychiatry be employed on a limited basis and be restricted to research settings and underserved communities.
PEDIATRICSEffectiveness and Cost-effectiveness of Letters, Automated Telephone Messages, or Both for Underimmunized Children in a Health Maintenance Organization
96 Citations1998Tracy A. Lieu, Angela M. Capra +4 more
For underimmunized 20-month-olds in this HMO setting, letters followed by automated telephone messages were more effective and cost-effective than either message alone.
Western Journal of MedicineDevelopment of a telemedicine program
94 Citations2000Thomas S. Nesbitt
Although referring physicians and patients indicate a high level of satisfaction with telemedicine services and insurers are negotiating reimbursement policies, additional research must investigate the reasons why some payers, patients, and providers resist participation in these services.
Journal of Telemedicine and TelecareA review of telemedicine cost-effectiveness studies
93 Citations2000Frances S Mair, Alan Haycox +2 more
Ten recommendations regarding the design of economic evaluations of telemedicine are suggested and some important weaknesses in the published literature relating to cost-effectiveness studies in telemedics are identified.
Behaviour Research and TherapyEfficacy of telephone-administered behavioral therapy for panic disorder with agoraphobia
91 Citations1995Richard P. Swinson, Karen Fergus +2 more
Telephone behavior therapy appears to be a cost-effective and efficacious treatment for agoraphobics living in remote regions where specialized anxiety disorder services are not readily available.
PubMedAlternatives for cardiac rehabilitation patients unable to return to a hospital-based program.
90 Citations1993Kenneth E. Sparks, Donald Shaw +3 more
TEM is an effective alternative for the rehabilitation of patients who are unable to return to a hospital-based program and shows significant improvement in cardiac function for both groups.
Journal of Telemedicine and TelecarePatient cost-benefits of realtime teledermatology-a comparison of data from Northern Ireland and New Zealand
89 Citations2000Amanda Oakley, Peg Kerr +4 more
The results of the present study show that the economic benefits of teledermatology favour the patient rather than the health-care system.
PubMedEffects and effectiveness of telemedicine.
88 Citations1995Jim Grigsby, M M Kaehny +3 more
This article reviews the literature on the effects and medical effectiveness of telemedicine and concludes with several recommendations for research, followed by a discussion of several specific questions, the answers to which might have a bearing on policy development.
Journal of Telemedicine and TelecarePaediatric echocardiography by telemedicine-nine years' experience
77 Citations1997J. P. Finley, Gillian Sharratt +5 more
Preliminary findings that broadband echocardiography transmission provides a service comparable in availability and accuracy to that provided in the paediatric cardiology division are confirmed.
Journal of Geriatric Psychiatry and NeurologyDevelopment and Validation of a Structured Telephone Interview for Dementia Assessment (STIDA): The NIMH Genetics Initiative
75 Citations1997Rodney C.P. Go, Linda W. Duke +8 more
The results suggest that the short STIDA provides a sensitive and fairly specific telephone screen for dementia, and that the full STIDA, consisting of an interview with a knowledgeable informant and subject testing, approximates the success of a face-to-face clinical interview, and provides reliable and valid screening and staging of dementia over the telephone.
Journal of Telemedicine and TelecareAn Evaluation of Telemedical Support for a Minor Treatment Centre
74 Citations1996Adam Darkins, C H Dearden +4 more
The telemedicine link for trauma and minor injuries was an extremely cost-effective way of providing medical expertise to cover the clinical risk of the 0.5–1.5% of the case load that required expert medical opinion.
HeartApplication of a low cost telemedicine link to the diagnosis of neonatal congenital heart defects by remote consultation
73 Citations1999Helen Mulholland, Frank Casey +6 more
The telemedicine link facilitated early diagnosis and initiation of appropriate management in patients with complex congenital heart disease and avoided the need for transfer in those where significant congenitals heart disease was excluded.
Journal of Telemedicine and TelecareWhat do we really know about the cost-effectiveness of telemedicine?
73 Citations2000Stefan Håkansson, Carin Gavelin
Up to now, telemedicine in general has not had any significant effect on medical practice, or the structure and organization of health-care, and its integration with traditional health- care is very important.
Journal of Telemedicine and TelecareA survey of research in telemedicine. 2: Telemedicine services
72 Citations1998P Taylor
There is little research that explicitly addresses the difficulties involved in setting up new telemedicine services, and relatively few studies have been able to collect the data required to provide an unambiguous demonstration of their value.
International Journal of Geriatric PsychiatryTelepsychiatry in psychogeriatric service: a pilot study
68 Citations2001Wai Kwong Tang, Helen Chiu +3 more
A pilot study on telepsychiatry was conducted in which a videoconferencing link was established between a regional hospital and a care and attention home, found to be highly feasible and acceptable to staff and patients and more cost‐effective than on‐site visits.
Journal of Gerontological NursingALZHEIMER'S CAREGIVERS: Psychosocial Support via Computer Networks
68 Citations1993Robert L Gallienne, Shirley M. Moore +1 more
An important role of the nurse as coordinator of geriatric client care is to provide psychosocial support (emotional, spiritual, and informational) to family members.
Telemedicine JournalLive Transmission of Neonatal Echocardiograms from Underserved Areas: Accuracy, Patient Care, and Cost
67 Citations1999Craig Sable, Theresa Roca +4 more
Live transmission of neonatal echocardiograms over three ISDN lines is diagnostic, improves patient care and echOCardiography quality, and is cost effective.
Journal of Advanced NursingA telephone intervention to reduce fatigue and symptom distress in mothers with difficult infants in the community
67 Citations1999Marga Thome, Beth Alder
Journal of Telemedicine and TelecareA survey of research in telemedicine. 1: Telemedicine systems
65 Citations1998P Taylor
Tests of the safety and efficacy of telemedicine systems can be seen as moving through three phases: first, identify the technical specification of equipment required for the particular telemedICine application; second, test that this is appropriate in particular settings; third, establish a set of standards and guidelines to ensure that the teleMedicine system is used to the best advantage.
Journal of Telemedicine and TelecareTelepsychiatry as a routine service - the perspective of the patient
65 Citations2001J Simpson, S Doze +3 more
From the patient's perspective, telepsychiatry was an acceptable technique in the management of mental health difficulties that both increased access to services and produced cost savings.
Health PolicyNormative models of health technology assessment and the social production of evidence about telehealth care
64 Citations2003Tracy Williams, Carl May +3 more
This paper critically contrast the normative expectations of the wider field of Health Technology Assessment with those configured within debates about Telehealthcare Evaluation and critically review models that provide structures within which the production of evidence about telehealthcare can take place.
International Journal of Technology Assessment in Health CareUSING TELEHEALTH INTERVENTIONS TO PREVENT PRESSURE ULCERS IN NEWLY INJURED SPINAL CORD INJURY PATIENTS POST-DISCHARGE
63 Citations1999Victoria Phillips, Ann Temkin +3 more
Telehealth interventions appear to improve ulcer tracking and management of all ulcer occurrences, and video interventions may affect outcomes, such as employment rates, which are not conventionally measured.
Journal of Telemedicine and TelecareProceedings of TeleMed 2001: London, 15–16 January 2001
60 Citations2001Richard Wootton
It seems probable that telemedicine can help with the education of health-care workers and patients; it seems likely that it could bring major benefits to the organization ofhealth-care.
Diabetes Technology & TherapeuticsTelemedical Care Reduces Hypoglycemias and Improves Glycemic Control in Children and Adolescents with Type 1 Diabetes
59 Citations2000B. Liesenfeld, R. Renner +2 more
Telemedical care for intensive insulin therapy is safe, can improve glycemic control, and reduce the number of hypoglycemias in children and adolescents with type 1 diabetes.
Children s Health CareSTARBRIGHT World: Effects of an Electronic Network on the Social Environment of Children With Life-Threatening Illnesses
57 Citations2002Haven Battles, Lori Wiener
SBW is a potentially useful tool to improve the hospital experience for seriously ill children, reduce their feelings of loneliness and isolation, and help them to be less socially withdrawn.
PubMedThe impact of telemedicine on outcomes of chronic wounds in the home care setting.
57 Citations2000Laura Kobza, Anne Scheurich
The authors examined the utilization of telemedicine in situations where wound specialists consulted with the home health nurse in the patient's home regarding care of chronic wounds and found improved healing rates, decreased healing time, decreased number of home health visits, and a decreases number of hospitalizations related to wound complications.
Archives of Pediatrics and Adolescent MedicineEffectiveness of Computer-Generated Telephone Messages in Increasing Clinic Visits
56 Citations1995Eugene F. Dini
Improvement in kept appointment rates associated with receiving the message was highest for the immunization-program, with increases of 64%, 53%, and 44% for the well-child; women, infant, and children; and family-planning programs, respectively.
Journal of Telemedicine and TelecareThe economics of telemedicine
55 Citations1997David Lobley
A framework is needed to enable decision makers in health-care delivery to analyse the potential effects of telemedicine applications on the activities, functions and roles of the different parties involved, and the different costs and benefits for each of these groups.
Journal of Telemedicine and TelecareMultidimensional telecare strategies for rural residents with brain injury
51 Citations2000Laura H. Schopp, Brick Johnstone +1 more
High-quality videoconferencing is examined to enhance care for persons with brain injury in three areas: cognitive assessment, psychotherapy and rural mental health training.
Obstetrics and GynecologyThe efficacy of telecolposcopy compared with traditional colposcopy
48 Citations2002Daron Ferris
Telecolposcopy may help reduce barriers to medical access for women in rural areas and diagnosis accuracy was maintained, but determination of colposcopic examination adequacy may be impaired by telecoloscopy.
Journal of Telemedicine and TelecareVideoconferencing in the provision of psychological services at a distance
48 Citations2000Maxine Capner
It seems that videoconferencing is a new and potentially beneficial means of bringing psychological services to isolated communities, however, it may be necessary to explore the technique cautiously.
Journal of Telemedicine and TelecarePsychiatric inpatient care planning via telemedicine
46 Citations2000Marja-Leena Mielonen, Arto Öhinmaa +2 more
The costs of psychiatric inpatient care-planning consultations to remote areas using videoconferencing, instead of the conventional face-to-face consultations at a hospital, are assessed to save a remote municipality about FM117,000.
British Journal of CancerSystematic review of cancer treatment programmes in remote and rural areas
43 Citations1999Neil Campbell, Lewis Ritchie +2 more
There were some indications that shared outreach care was safe and could make specialist care more accessible to outlying patients, and tele-oncology, by which some consultations are conducted using televideo, may be an acceptable adjunct.
Journal of Telemedicine and TelecareThe role of telecare in the management of exacerbations of chronic obstructive pulmonary disease in the home
42 Citations1999Frances S Mair, Mark Wilkinson +3 more
This pilot project represents the first attempt at providing home telecare in the UK to those experiencing an acute exacerbation of their chronic illness, who would otherwise have merited acute hospital admission.
Journal of Telemedicine and TelecareAviation medicine: challenges for telemedicine
41 Citations2002O. Ferrer‐Roca, R D Díaz de León +4 more
Recent telemedicine experiments have involved the transmission of three-lead electrocardiograms (ECGs), heart rate, blood pressure, arterial oxygen saturation, end-tidal CO2, respiratory rate, body temperature and realtime video.
Journal of Telemedicine and TelecareThe tele-assessment of cognitive state: a review
40 Citations1997Chris Ball, P McLaren
This paper reviews the literature on cognitive testing by telephone and by videoconferencing, and summarizes the different strategies employed to do this task, and shows promise for the future because it allows a much wider range of assessment than the telephone.
The GerontologistAn Automated Telephone System for Monitoring the Functional Status of Community-Residing Elders
40 Citations1999Nancy Morrow‐Howell, D. F. Mahoney +3 more
The results suggest that the automated system cannot substitute for a case manager's in-home assessment, but it does offer a means to target individuals for additional professional assessment.
Journal of the American Geriatrics SocietyA Telephone Support Service to Reduce Medical Care Use Among the Elderly
39 Citations1988Claire Infante‐Rivard, Monique Krieger +2 more
The results suggest that telephone support may bring about a substantial decrease in medical care utilization and the cost‐advantage ratio for this type of intervention is recommended.
PubMedTelecare of diabetic patients with intensified insulin therapy. A randomized clinical trial.
38 Citations2000E Biermann, Wolfgang Dietrich +1 more
Telemanagement of insulin-requiring diabetic patients is a cost and time saving procedure for the patients and results in metabolic control comparable to conventional outpatient management.
Journal of the American Dietetic AssociationInteractive Videoconferencing Improves Nutrition Intervention in a Rural Population
38 Citations2001Andrea C. Johnson, Martha Gorman +4 more
Journal of Telemedicine and TelecareMental health telemedicine programmes in Australia
37 Citations2001Kate Lessing, Ilse Blignault
The results of the study suggest that telehealth can increase access to mental health services for people in rural and remote areas, particularly those who have hitherto been poorly served bymental health services in Australia.
Journal of Telemedicine and TelecareHome telecare in the United States
36 Citations1998A Kinsella
This review identifies emerging trends in home care and attempts to develop new methods of providing cost-effective care for a growing patient population with chronic disease.
PEDIATRICSReducing After-Hours Referrals by an After-Hours Call Center With Second-Level Physician Triage
36 Citations2000Allison Kempe, Catherine L. Dempsey +4 more
Signing out to a Call Center decreased physicians' after-hours calls by 77% and SLP triage halved the number of urgent after- hours referrals.
Journal of Telemedicine and TelecareEvaluation of a Distance Consulting Service Based on Interactive Video and Integrated Computerized Technology
36 Citations1995P. A. Jennett, Wayne Hall +2 more
The efficacy of the telemedicine system in providing more equitable access to health care for persons living in geographically remote sites was evaluated during a 12-month pilot project and the success of the technology in this project is demonstrated.
Journal of Telemedicine and TelecareSickle cell disease telemedicine network for rural outreach
35 Citations2000Kristy F. Woods, Judy A. Johnson +3 more
By using telemedicine, the productivity of the MCG adult sickle cell clinic increased from 1413 to 1889 encounters a year, with an increase in rural outreach activity from 271 to 745 encounter a year.
Journal of Gerontological NursingDelivering Health Information About Self-Medication to Older Adults
32 Citations2001Patricia J. Neafsey, Zoe Strickler +2 more
The objectives of the program are to increase older adults' knowledge of potential interactions of prescription medications with OTC drugs and alcohol and to increase their confidence (self-efficacy) about how to avoid such interactions.
Journal of Adolescent HealthNative American youths and cancer risk reduction
30 Citations1994Steven P. Schinke, Michael S. Moncher +1 more
Interactive computer software holds promise for delivering cancer risk reduction intervention aimed at modifying dietary habits and preventing tobacco use among Native American youth.
Journal of Telemedicine and TelecareEighteen months' experience with remote diagnosis, management and education in congenital heart disease
25 Citations2001Amalia Tsilimigaki, Sophia Maraka +5 more
A telemedicine link between the Venizelio General Hospital in Crete and the Paediatric Cardiology Department of the Aghia Sophia Children's Hospital in Athens brought a number of benefits, such as better access to the tertiary centre and the avoidance of patient transportation.
The American Journal of CardiologyOptimizing utilization of pediatric echocardiography and implications for telemedicine11The content of this article does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names commercial products, or organizations imply endorsement by the U.S. government.
24 Citations1999Thomas Scholz, Michael G. Kienzle
It is found that significantly fewer echoes may be required in patients > 1 year of age if patients are first evaluated by a pediatric cardiologist, and patient selection will impact cost effectiveness of remotely obtained echoes.
HeartUse of fax facility improves decision making regarding thrombolysis in acute myocardial infarction.
24 Citations1997Vinjamur S. Srikanthan, A. C. Pell +5 more
The use of fax machine assists in decision making with regard to thrombolytic treatment and provides support to junior doctors in what can be a difficult, yet critical decision.
Telemedicine Journal and e-HealthPediatric Tele-Echocardiography: Evaluation of Transmission Modalities
22 Citations2001A R Mehta, Douglas S. Wakefield +2 more
Journal of Telemedicine and TelecareA cost-minimization analysis of oncology home care versus hospital care
22 Citations2001R Subirana Serrate, O. Ferrer‐Roca +1 more
Journal of Telemedicine and TelecareA portable unit for remote monitoring of pacemaker patients
21 Citations1997V. Barbaro, P. Bartolini +1 more
A prototype system that transmits the patient`s electrocardiograms and the main characteristics of the pacemaker to a monitoring centre will be beneficial to patients and health-care organizations in terms of quality of life for the former, and costs and efficiency for the latter.
Clinical RadiologyTeleradiology: Another revolution in radiology?
21 Citations1998Giles W. Boland
The historical and current technological developments of teleradiology and its potential future implementation into mainstream radiology are outlined.
Journal of Nutrition for the ElderlyNutrition Telemedicine Consultation for Rural Elders
21 Citations1999Nancy Stiles, Maria G. Boosalis +3 more
A pilot telemedicine nutritional consultation service was developed to determine the feasibility of using this technology for nutritional assessment and participants reported that their nutritional consultations were very positive experiences and more convenient and less costly than in-person consultations.
Journal of Telemedicine and TelecareA review of minor injuries telemedicine
21 Citations1999Jonathan Benger
Studies show that satisfactory interpretation of plain radiographs is possible using a low-cost/low-resolution telemedicine link, and it seems likely that teleconsultation will become an essential component in the provision of accident and emergency services.
Prehospital Emergency CareTraining for rural prehospital providers: A retrospective analysis from montana
20 Citations1999Jeri D. Pullum, Nels D. Sanddal +1 more
A retrospective analysis of training methods used by rural Montana's prehospital care providers is provided and it is illustrated that remote training methods that train the providers directly are effective and popular.
PubMedPrenatal behavioral risk screening by computer among Native Americans.
20 Citations1993Sandra C. Lapham, Eric Henley +1 more
Results indicated that the computerized assessment was well received by patients and yielded valid information regarding risk factors for adverse pregnancy outcomes.
Journal of Applied GerontologyReduced Hospitalization Rates of Two Sets of Community-Residing Older Adults After Use of a Personal Response System
15 Citations1997Robert E. Roush, Thomas A. Teasdale
This study replicated, in a United States setting, an earlier study conducted in Canada to determine whether use of a 24-hour personal response system (PRS) affected selected hospital utilization rates among community-residing users.
International Journal of Technology Assessment in Health CareA LOGIT MODEL FOR THE EFFECT OF TELECARDIOLOGY ON ACUTE NEWBORN TRANSFERS
14 Citations2001Mark C. Rendina, Noel Carrasco +3 more
Investigation of the effect of immediate echocardiogram interpretation via telemedicine on rates of neonatal transfer to academic medical centers found that telecardiology was associated with a 58% reduction of such transfers.
…