A review of telemedicine and asthma

Wainwright, C and Wootton, R (2003) A review of telemedicine and asthma. Disease Management & Health Outcomes, 11 9: 557-563.


Author Wainwright, C
Wootton, R
Title A review of telemedicine and asthma
Journal name Disease Management & Health Outcomes   Check publisher's open access policy
ISSN 1173-8790
Publication date 2003
Sub-type Article (original research)
DOI 10.2165/00115677-200311090-00003
Volume 11
Issue 9
Start page 557
End page 563
Total pages 7
Editor Ngaire White
Place of publication New Zealand
Publisher Aids International Ltd
Collection year 2003
Language eng
Subject C1
329999 Medical and Health Sciences not elsewhere classified
730199 Clinical health not specific to particular organs, diseases and conditions
Abstract The literature contains a number of reports of early work involving telemedicine and chronic disease; however, there are comparatively few studies in asthma. Most of the telemedicine studies in asthma have investigated the use of remote monitoring of patients in the home, e.g. transmitting spirometry data via a telephone modem to a central server. The primary objective of these studies was to improve management. A secondary benefit was that patient adherence to prescribed treatment is also likely to be improved. Early results are encouraging; home monitoring in a randomized controlled trial in Japan significantly reduced the number of emergency room visits by patients with poorly controlled asthma. Other studies have described the cost-benefits of a specialist asthma nurse who can manage patients by telephone contact, as well as deliver asthma education. Many web-based systems are available for the general public or healthcare professionals to improve education in asthma, although their quality is highly variable. The work on telemedicine in asthma clearly shows that the technique holds promise in a number of areas. Unfortunately - as in telemedicine generally - most of the literature in patients with asthma refers to pilot trials and feasibility studies, with short-term outcomes. Large-scale, formal research trials are required to establish the cost effectiveness of telemedicine in asthma.
Keyword Telemedicine Asthma
Health Care Sciences & Services
Randomized Controlled Trial
Patient Satisfaction
Ethical Aspects
Outreach Program
Self-management
Hong-kong
Adherence
Education
Legal
Care
Q-Index Code C1

 
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