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

Title: 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
Author(s): Bower, P
Cartwright, M
Hirani, S
Barlow, JG
Hendy, J
Knapp, M
Henderson, C
Rogers, A
Sanders, C
Cartwright, M
Bardsley, M
Steventon, A
Fitzpatrick, R
Doll, H
Newman, S
Item Type: Journal Article
Abstract: 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.
Publication Date: 5-Aug-2011
Date of Acceptance: 5-Aug-2011
URI: http://hdl.handle.net/10044/1/59996
DOI: https://dx.doi.org/10.1186/1472-6963-11-184
ISSN: 1472-6963
Publisher: BioMed Central
Journal / Book Title: BMC Health Services Research
Volume: 11
Issue: 1
Copyright Statement: © 2011 Bower et al; licensee BioMed Central Ltd. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Sponsor/Funder: Department of Health
Engineering & Physical Science Research Council (EPSRC)
Funder's Grant Number: 51001NM
EP/I029788/1
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
COMPLEX INTERVENTIONS
HEALTH-CARE
LOCAL IMPLEMENTATION
ELDERLY-PEOPLE
HEART-FAILURE
SCALE
INNOVATIONS
TELECARE
VALIDITY
TELEMEDICINE
Humans
Chronic Disease
Monitoring, Physiologic
Cluster Analysis
Telemedicine
Research Design
Social Support
Health Services Needs and Demand
Evaluation Studies as Topic
1117 Public Health And Health Services
0807 Library And Information Studies
Health Policy & Services
Publication Status: Published
Article Number: 184
Online Publication Date: 2011-08-05
Appears in Collections:Imperial College Business School



Items in Spiral are protected by copyright, with all rights reserved, unless otherwise indicated.

Creative Commons