Dansky Kathryn H, Vasey Joseph, Bowles Kathryn
Department of Health Policy and Administration, The Pennsylvania State University, 114 Henderson Building, University Park, PA 16803, USA.
Res Gerontol Nurs. 2008 Jan;1(1):25-32. doi: 10.3928/19404921-20080101-01.
Telehealth, a clinical information system that transmits data over ordinary telephone lines, is used by individuals in their homes to communicate electronically with health care providers. This study investigated the influence of telehealth on self-management of heart failure in a sample of older adults. We hypothesized that the use of telehealth facilitates patient confidence, with subsequent effects on patients' ability to manage their treatment regimen more effectively. Patients in the intervention groups received a telehealth system during their episode of care; patients in the control groups received routine home visits only. Analyses, using a repeated measures design, found that confidence is a predictor of self-management behaviors. In addition, we found that patients using a video-based telehealth system showed the greatest gain in confidence levels with time. Managers and policy makers responsible for creating and funding programs that support the use of health information technologies by older adults can benefit from these results.
远程医疗是一种通过普通电话线传输数据的临床信息系统，居家的个人可利用它与医疗服务提供者进行电子通信。本研究调查了远程医疗对老年人群样本中心力衰竭自我管理的影响。我们假设，使用远程医疗可增强患者信心，进而对患者更有效地管理其治疗方案的能力产生影响。干预组患者在护理期间接受了远程医疗系统；对照组患者仅接受常规家访。采用重复测量设计进行的分析发现，信心是自我管理行为的一个预测指标。此外，我们发现，使用基于视频的远程医疗系统的患者随着时间推移信心水平提升最大。负责创建和资助支持老年人使用健康信息技术项目的管理人员和政策制定者可从这些结果中受益。
