ASSESSING THE EFFECTIVENESS OF TELEMEDICINE ON DISEASE MANAGEMENT OUTCOMES IN PATIENTS WITH CHRONIC CONDITIONS: A SYSTEMATIC REVIEW
Main Article Content
Keywords
Telemedicine, Disease Management, Chronic Conditions, COPD
Abstract
A rise in chronic diseases like diabetes, heart failure, COPD, and hypertension is exerting enormous pressure on the global healthcare systems. There is thus the need to come up with contemporary approaches to addressing the disease management practices. Telemedicine the practice of using electronic and telecommunications technology to deliver healthcare services, is viewed as a potential solution in Chronic Diseases management. Accordingly, the aim of this systematic review is to investigate the impact of telemedicine on clinical efficacy, patients’ satisfaction, costs and utilization of health services, and cost-effectiveness in chronic diseases. Based on quantitative methods to assess the utilization of telemedicine in chronic disease control in the adult populations, the review measured benefits from RCTs, cohort studies, and observational studies. The outcomes imply that, to supplement traditional methods of patient care delivery, telemedicine can add value to practice, advance patient satisfaction, as well as decrease costs of care. However, this research shows that the proposed functions are nonuniform and have high and low efficacy depending on the type of chronic disease and patients. Moreover, the challenges of technology barriers were also reported, especially concerning patients with access to telecommunication services and technology-enabling literacy which all justify the need for studies on advanced telemedicine designs for various clients.
References
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20. Schou L, Østergaard B, Rasmussen LS, Rydahl-Hansen S, Jakobsen AS, Emme C, Phanareth K. Telemedicine-based treatment versus hospitalization in patients with severe chronic obstructive pulmonary disease and exacerbation: effect on cognitive function. A randomized clinical trial. Telemed J E Health. 2014 Jul;20(7):640-6. doi: 10.1089/tmj.2013.0224. Epub 2014 May 12. PMID: 24820535
21. Berkhof FF, van den Berg JW, Uil SM, Kerstjens HA. Telemedicine, the effect of nurse-initiated telephone follow-up, on health status and healthcare utilization in COPD patients: a randomized trial. Respirology. 2015 Feb;20(2):279-85. doi: 10.1111/resp.12437. Epub 2014 Nov 17. PMID: 25400242
22. Golbus JR, Dempsey W, Jackson EA, Nallamothu BK, Klasnja P. Microrandomized Trial Design for Evaluating Just-in-Time Adaptive Interventions Through Mobile Health Technologies for Cardiovascular Disease. Circ Cardiovasc Qual Outcomes. 2021 Feb;14(2) . doi: 10.1161/CIRCOUTCOMES.120.006760. Epub 2021 Jan 12. PMID: 33430608; PMCID: PMC8887814.
23. Bashshur, R. L., Shannon, G. W., Bashshur, N., & Yellowlees, P. M. (2016). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 22(5), 323-339.
24. Fors, A., et al. (2018). Effects of a person-centred telephone-support in patients with chronic obstructive pulmonary disease and/or chronic heart failure - A randomized controlled trial. PLoS One, 13(8).
25. Jiang, Y., et al. (2024). Effectiveness of patient decision aid supported shared decision-making intervention in in-person and virtual hybrid pulmonary rehabilitation in older adults with chronic obstructive pulmonary disease: A pilot randomized controlled trial. J Telemed Telecare, 30(10), 1532-1542.
26. Koehler, F., et al. (2018). Telemedical Interventional Management in Heart Failure II (TIM-HF2). European Journal of Heart Failure, 20(10), 1485-1493.
27. Kruse, C. S., et al. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8), e016242.
28. Oksman, E., et al. (2017). Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care. BMC Health Services Research, 17(1), 138.
29. Omboni, S., et al. (2020). Evidence and recommendations on the use of telemedicine for the management of arterial hypertension: An international expert position paper. Hypertension, 76(5), 1368-1383.
30. Paré, G., et al. (2017). Systematic review of home telemonitoring for chronic diseases: The evidence base. Journal of the American Medical Informatics Association, 14(3), 269-277.
31. Rahimi, K., et al. (2020). Home monitoring with technology-supported management in chronic heart failure: a randomised trial. Heart, 106(20), 1573-1578.
2. Bashshur, R. L., Shannon, G. W., Bashshur, N., & Yellowlees, P. M. (2016). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 22(5), 323-339.
3. Kitsiou, S., Paré, G., & Jaana, M. (2015). Systematic reviews and meta-analyses of home telemonitoring interventions for chronic diseases: A methodological review. Telemedicine and e-Health, 21(2), 97-104.
4. Koonin, L. M., Hoots, B., Tsang, C. A., Leroy, Z., Farris, K., Jolly, T., ... & Harris, A. M. (2020). Trends in the use of telehealth during the emergence of the COVID-19 pandemic—United States, January–March 2020. Morbidity and Mortality Weekly Report, 69(43), 1595-1599.
5. Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8), e016242.
6. Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., ... & Parati, G. (2020). Evidence and recommendations on the use of telemedicine for the management of arterial hypertension: An international expert position paper. Hypertension, 76(5), 1368-1383.
7. Paré, G., Jaana, M., & Sicotte, C. (2017). Systematic review of home telemonitoring for chronic diseases: The evidence base. Journal of the American Medical Informatics Association, 14(3), 269-277.
8. Totten, A. M., Womack, D. M., Eden, K. B., McDonagh, M. S., Griffin, J. C., Grusing, S., & Hersh, W. R. (2016). Telehealth: Mapping the evidence for patient outcomes from systematic reviews. Agency for Healthcare Research and Quality, (No. 16-EHC034-EF).
9. Jha D, et al. Protocol for the mWellcare trial: a multicentre, cluster randomised, 12-month, controlled trial to compare the effectiveness of mWellcare, an mHealth system for an integrated management of patients with hypertension and diabetes, versus enhanced usual care in India. BMJ Open. 2017;7(8) . doi: 10.1136/bmjopen-2016-014851
10. Schou L, et al. Telemedicine-based treatment versus hospitalization in patients with severe chronic obstructive pulmonary disease and exacerbation: effect on cognitive function. A randomized clinical trial. Telemed J E Health. 2014;20(7):640-6. doi: 10.1089/tmj.2013.0224.
11. Koehler F, et al. Telemedical Interventional Management in Heart Failure II (TIM-HF2), a randomised, controlled trial investigating the impact of telemedicine on unplanned cardiovascular hospitalisations and mortality in heart failure patients: study design and description of the intervention. Eur J Heart Fail. 2018;20(10):1485-1493. doi: 10.1002/ejhf.1300.
12. Sten-Gahmberg S, et al. Pragmatic randomized controlled trial comparing a complex telemedicine-based intervention with usual care in patients with chronic conditions. Eur J Health Econ. 2024;25(7):1275-1289. doi: 10.1007/s10198-023-01664-w.
13. Jiang Y, et al. Effectiveness of patient decision aid supported shared decision-making intervention in in-person and virtual hybrid pulmonary rehabilitation in older adults with chronic obstructive pulmonary disease: A pilot randomized controlled trial. J Telemed Telecare. 2024;30(10):1532-1542. doi: 10.1177/1357633X231156631.
14. Rahimi K, et al. Home monitoring with technology-supported management in chronic heart failure: a randomised trial. Heart. 2020;106(20):1573-1578. doi: 10.1136/heartjnl-2020-316773. Fors A, et al. Effects of a person-centred telephone-support in patients with chronic obstructive pulmonary disease and/or chronic heart failure - A randomized controlled trial. PLoS One. 2018;13(8) . doi: 10.1371/journal.pone.0203031.
15. Chhabra HS, et al. Smartphone app in self-management of chronic low back pain: a randomized controlled trial. Eur Spine J. 2018;27(11):2862-2874. doi: 10.1007/s00586-018-5788-5. Boyne JJ, et al. Telemonitoring in patients with heart failure, the TEHAF study: Study protocol of an ongoing prospective randomised trial. Int J Nurs Stud. 2011;48(1):94-9. doi: 10.1016/j.ijnurstu.2010.05.017.
16. McDowell JE, et al. A randomised clinical trial of the effectiveness of home-based health care with telemonitoring in patients with COPD. J Telemed Telecare. 2015;21(2):80-7. doi: 10.1177/1357633X14566575.
17. Bentley CL, Mountain GA, Thompson J, Fitzsimmons DA, Lowrie K, Parker SG, Hawley MS. A pilot randomised controlled trial of a Telehealth intervention in patients with chronic obstructive pulmonary disease: challenges of clinician-led data collection. Trials. 2014 Aug 6;15:313. doi: 10.1186/1745-6215-15-313. PMID: 25100550; PMCID: PMC4131041
18. Oksman E, Linna M, Hörhammer I, Lammintakanen J, Talja M. Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care. BMC Health Serv Res. 2017 Feb 15;17(1):138. doi: 10.1186/s12913-017-2088-4. PMID: 28202032; PMCID: PMC5312514
19. Jolly K, Sidhu M; PSM COPD Group; Bower P, Madurasinghe V; MRC START Group. Improving recruitment to a study of telehealth management for COPD: a cluster randomised controlled 'study within a trial' (SWAT) of a multimedia information resource. Trials. 2019 Jul 24;20(1):453. doi: 10.1186/s13063-019-3496-z. PMID: 31340853; PMCID: PMC6657092
20. Schou L, Østergaard B, Rasmussen LS, Rydahl-Hansen S, Jakobsen AS, Emme C, Phanareth K. Telemedicine-based treatment versus hospitalization in patients with severe chronic obstructive pulmonary disease and exacerbation: effect on cognitive function. A randomized clinical trial. Telemed J E Health. 2014 Jul;20(7):640-6. doi: 10.1089/tmj.2013.0224. Epub 2014 May 12. PMID: 24820535
21. Berkhof FF, van den Berg JW, Uil SM, Kerstjens HA. Telemedicine, the effect of nurse-initiated telephone follow-up, on health status and healthcare utilization in COPD patients: a randomized trial. Respirology. 2015 Feb;20(2):279-85. doi: 10.1111/resp.12437. Epub 2014 Nov 17. PMID: 25400242
22. Golbus JR, Dempsey W, Jackson EA, Nallamothu BK, Klasnja P. Microrandomized Trial Design for Evaluating Just-in-Time Adaptive Interventions Through Mobile Health Technologies for Cardiovascular Disease. Circ Cardiovasc Qual Outcomes. 2021 Feb;14(2) . doi: 10.1161/CIRCOUTCOMES.120.006760. Epub 2021 Jan 12. PMID: 33430608; PMCID: PMC8887814.
23. Bashshur, R. L., Shannon, G. W., Bashshur, N., & Yellowlees, P. M. (2016). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 22(5), 323-339.
24. Fors, A., et al. (2018). Effects of a person-centred telephone-support in patients with chronic obstructive pulmonary disease and/or chronic heart failure - A randomized controlled trial. PLoS One, 13(8).
25. Jiang, Y., et al. (2024). Effectiveness of patient decision aid supported shared decision-making intervention in in-person and virtual hybrid pulmonary rehabilitation in older adults with chronic obstructive pulmonary disease: A pilot randomized controlled trial. J Telemed Telecare, 30(10), 1532-1542.
26. Koehler, F., et al. (2018). Telemedical Interventional Management in Heart Failure II (TIM-HF2). European Journal of Heart Failure, 20(10), 1485-1493.
27. Kruse, C. S., et al. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8), e016242.
28. Oksman, E., et al. (2017). Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care. BMC Health Services Research, 17(1), 138.
29. Omboni, S., et al. (2020). Evidence and recommendations on the use of telemedicine for the management of arterial hypertension: An international expert position paper. Hypertension, 76(5), 1368-1383.
30. Paré, G., et al. (2017). Systematic review of home telemonitoring for chronic diseases: The evidence base. Journal of the American Medical Informatics Association, 14(3), 269-277.
31. Rahimi, K., et al. (2020). Home monitoring with technology-supported management in chronic heart failure: a randomised trial. Heart, 106(20), 1573-1578.
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Sep 4, 2024
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Meera Jamil, Sumaviya Butt, Shaista Mumtaz, Mohsin Ali, Adnan Manzoor, & Faisal Masood. (2024). ASSESSING THE EFFECTIVENESS OF TELEMEDICINE ON DISEASE MANAGEMENT OUTCOMES IN PATIENTS WITH CHRONIC CONDITIONS: A SYSTEMATIC REVIEW. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 2993-3004. https://doi.org/10.53555/x7y3j037
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Author Biographies
Meera Jamil
Junior Clinical Fellow (Emergency Department), Milton Keynes University Hospital NHS Trust
Sumaviya Butt
Shalamar Hospital, Lahore, PakistanShaista Mumtaz
Department of Emergency Medicine, Shaikh Khalifa bin Zayed al Nahyan Medical and Dental College, Lahore/ Care and Cure Hospital, Gujranwala, Pakistan
Mohsin Ali
Department of Medicine, Ali Riaz Hospital, Dinga, District Gujrat
Adnan Manzoor
Department of General Medicine Unit B, Saidu Group of Teaching Hospitals, Swat, KPK Pakistan
Faisal Masood
Medical Officer, PAQSJIMS, Gambat, DHQ Hospital, Mirpur Mathelo, Sindh PakistanHow to Cite
Meera Jamil, Sumaviya Butt, Shaista Mumtaz, Mohsin Ali, Adnan Manzoor, & Faisal Masood. (2024). ASSESSING THE EFFECTIVENESS OF TELEMEDICINE ON DISEASE MANAGEMENT OUTCOMES IN PATIENTS WITH CHRONIC CONDITIONS: A SYSTEMATIC REVIEW. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 2993-3004. https://doi.org/10.53555/x7y3j037