The Economic and Quality of Life Impact of Remote Technologies on High Risk Patients and Their Caregivers

Abstract

The chronically ill have complex healthcare needs and require a disproportionate share of medical resources. We conducted a pilot study (CLIN001) to determine whether home-based preventative care improves healthcare outcomes with a randomized trial intervention in high-risk dialysis patients utilizing either a home health aide (HHA) or clinical measurements made by the patient at home using remote technology (RT). Over the first nine months, hospitalizations, emergency room visits, and associated charges were significantly lower in the RT group. CLIN002 eliminates the HHA group and seeks to further explore the stability of these patients over time in a larger sample of patients. The results from the 44 patients participating in CLIN002 showed significant differences in health outcomes including the number of days of hospitalization, prorated healthcare charges, and continued self reliance of the RT participants. RT can play an important role in improving health outcomes of patients with complex healthcare needs and may be economically sustainable.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2010
Accession Number
ADA540899

Entities

People

  • Steven Berman

Tags

DTIC Thesaurus Topics

  • Biomedical Research
  • Contracts
  • Databases
  • Economic Analysis
  • Electronic Mail
  • Health Services
  • Hospitalizations
  • Hospitals
  • Institutional Review Board
  • Medical Personnel
  • Monitoring
  • Physicians
  • Pilot Studies
  • Quality Of Life
  • Standards
  • Telemedicine
  • Video Teleconferencing

Fields of Study

  • Medicine
  • Political science

Readers

  • Medical or Health Care Field.
  • Oncology
  • Positioning, Navigation, and Timing (PNT) Technology.