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Results of a telehealth-enabled chronic care management service to support people with long-term conditions at home

Making Education Easy

From Māori Health Review Issue 38
Authors:
  • Venter A et al
Summary:

In this 12-month pilot investigation into the cultural acceptability of home-based remote telemonitoring among patients with chronic health conditions, there were no clear differences in quality of life at the end of the trial among those in the control group, whereas the telehealth group showed a consistent trend towards improved quality of life on several instruments, including the SF-36, the St George Respiratory Questionnaire and the K10 questionnaire; the improvement in the latter was significant. Hospitalisations were reduced in both the control (–19%) and telehealth group (–25%). Patient interviews indicated that the technology was acceptable to most patients and their families, including Māori.

Comment:
I am aware that many rural health providers were waiting for the results of this project. It certainly appears that clients happily engaged with and liked the service. Further studies are required to test the clinical and cost effectiveness of it but these initial results hold some promise.
Reference: J Telemed Telecare. 2012;18(3):172-5.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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