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

被引：72

作者：

Bower, Peter ^{[2
]}

Cartwright, Martin ^{[1
]}

Hirani, Shashivadan P. ^{[1
]}

Barlow, James ^{[3
]}

Hendy, Jane ^{[3
]}

Knapp, Martin ^{[4
,5
]}

Henderson, Catherine ^{[4
]}

Rogers, Anne ^{[2
]}

Sanders, Caroline ^{[2
]}

Bardsley, Martin ^{[6
]}

Steventon, Adam ^{[6
]}

Fitzpatrick, Raymond ^{[7
]}

Doll, Helen ^{[7
]}

Newman, Stanton ^{[1
]}

机构：

[1] City Univ London, Sch Community & Hlth Sci, London EC1V 0HB, England

[2] Univ Manchester, Hlth Sci Res Grp, Manchester, Lancs, England

[3] Univ London Imperial Coll Sci Technol & Med, Imperial Coll Business Sch, London, England

[4] Univ London London Sch Econ & Polit Sci, PSSRU, London WC2A 2AE, England

[5] Kings Coll London, Inst Psychiat, London WC2R 2LS, England

[6] Nuffield Trust, London, England

[7] Univ Oxford, Dept Publ Hlth, Oxford, England

来源：

BMC HEALTH SERVICES RESEARCH | 2011年 / 11卷

基金：

英国工程与自然科学研究理事会;

关键词：

COMPLEX INTERVENTIONS; HEALTH; INNOVATIONS; VALIDITY; TELEMEDICINE; TELECARE; BENEFITS; DESIGN; SCALE; FORM;

D O I：

10.1186/1472-6963-11-184

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: It is expected that increased demands on services will result from expanding numbers of older people with long-term conditions and social care needs. There is significant interest in the potential for technology to reduce utilisation of health services in these patient populations, including telecare (the remote, automatic and passive monitoring of changes in an individual's condition or lifestyle) and telehealth (the remote exchange of data between a patient and health care professional). The potential of telehealth and telecare technology to improve care and reduce costs is limited by a lack of rigorous evidence of actual impact. Methods/Design: We are conducting a large scale, multi-site study of the implementation, impact and acceptability of these new technologies. A major part of the evaluation is a cluster-randomised controlled trial of telehealth and telecare versus usual care in patients with long-term conditions or social care needs. The trial involves a number of outcomes, including health care utilisation and quality of life. We describe the broad evaluation and the methods of the cluster randomised trial Discussion: If telehealth and telecare technology proves effective, it will provide additional options for health services worldwide to deliver care for populations with high levels of need.

引用

页数：12