The Economic and Quality of Life Impact of Remote Technologies on High Risk Patients and Their Caregivers
Abstract
This pilot study compares the clinical outcomes, economic impacts, and patient and caregiver ratings of Quality of Life and satisfaction of a Remote Technology (RT) intervention to Home Health Aide (HHA) intervention or Usual Care (UC). 28 high-risk patients with ESRD were randomized into 3 groups for intervention: RT, HHA, or UC. The pre-intervention surveys of Quality of life, satisfaction, and health utilities were conducted. Measurements of healthcare resource utilization including ER visits and hospitalizations have been initiated as well as a mechanism to gather economic evaluations to calculate marginal cost-effective ratios for RT and HHA. Implementation of interventions was delayed for almost 6 months because we underestimated the time required for the IRB review process and our process of randomization to either HHA or RT was flawed. We did not appreciate that chronically ill patients with a high disease burden have developed an unspoken system of support and coping. Home intervention must convince the patient/caregiver of its supplemental value; and, the patient/caregiver must be physically capable of performing the required tasks of the intervention. A sharp interest in the Home Electronic Medical (HEMR) created from the uploaded monitoring data for each patient was expressed by physicians when the monitoring equipment was demonstrated A literature review finds little information of the value of a HEMR in decision-making.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 2009
- Accession Number
- ADA548115
Entities
People
- Steven J. Berman