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A web-based system for personalized patient education and compliance monitoring

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The economic importance of therapy compliance has grown steadily in recent years, not only because of the efficacy of newer therapeutic methods but also because of the increased costs of treating the consequences of poor compliance. Improved compliance can lead to significant savings by preserving or restoring a patient's health, improving quality of life, by reducing the number of medical services required when therapy fails or appears ineffective, and by helping limit the rise in national health care costs. Within the framework of the TEN-Telecom European Commission Programme, C-Monitor project developed an integrated health telematics platform to enhance chronic patient compliance to therapy and interactive communication with their attending physicians. The overall aim of the project was to study the potential benefits, both in clinical and financial aspects, of such innovative systems and services along cost-efficiency of care provision. The platform developed has been validated in controlled small-scale trials in a number of European countries. The Greek pilot involved installation of the system in a private hospital in Athens and the validation scenario dealt with morbid obesity patients that have undergone surgical operation. A number of 30 patients were recruited for the trial. Results of the trial indicated the technological robustness of the proposed system and the potential clinical and economic benefits of running such services. Further trials are required to better address cost-efficiency issues with respects to the service goals.
Rocznik
Tom
Strony
42--48
Opis fizyczny
Bibliogr. 9 poz., rys., tab.
Twórcy
  • Biomedical Engineering Laboratory, School of Electrical and Computer Engineering, National Technical University of Athens (NTUA), 9 Iroon Polytechniou st, 15773, Zografou Campus, Athens, Greece
autor
  • Biomedical Engineering Laboratory School of Electrical and Computer Engineering National Technical University of Athens (NTUA) 9 Iroon Polytechniou st, 15773 Zografou Campus Athens, Greece
  • Southeastern Europe Telecommunications and Informatics Research Insitute 9th km Thermi Road P.O. Box 60080 570 01 Thessaloniki, Greece
Bibliografia
  • [1] S. A. Schroeder, J. A. Showstack, and H. E. Roberts, “Frequency and clinical descriptions of high-cost patients in 17 acute-care hospitals”, N. Engl. J. Med., vol. 300, pp. 1306–1309, 1979.
  • [2] G. F. Anderson and E. P. Steinberg, “Hospital readmissions in the medicare population”, N. Engl. J. Med., vol. 311, pp. 349–352, 1998.
  • [3] H. Dormann, A. Neubert, M. Criegee-Rieck et. al., “Readmissions and adverse drug reactions in internal medicine: the economic impact”, J. Int. Med., vol. 255, no.6, pp. 653–663, 2004.
  • [4] S. E. Frankl, J. L. Breeling, and L. Goldman, “Preventability of emergent hospital readmission”, Amer. J. Med., vol. 90, pp. 667–674, 1991.
  • [5] A. Clarke, “Are readmissions avoidable?” BMJ, vol. 301, pp. 1136–1138, 1990.
  • [6] H. Graham and B. Livesly, “Can readmissions to a geriatric medical unit be prevented?” Lancet, vol. 1, pp. 404–406, 1983.
  • [7] N. Barber, J. Parsons, S. Clifford, R. Darracott, and R. Horne, “Patients’ problems with new medication for chronic conditions”, Qual. Saf. Health Care, vol 13, no. 3, pp. 172–175, 2004.
  • [8] M. Monane, R. L. Bohn, J. H. Gurwitz, R. J. Glynn, and J. Avorn, “Noncompliance with congestive heart failure in the elderly”, Arch. Int. Med., vol. 154, pp. 433–437, 1994.
  • [9] S. A. Eraker, J. P. Kirscht, and M. H. Becker, “Understanding and improving patient compliance”, Ann. Int. Med., vol. 100, pp. 258–268, 1984.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BAT3-0031-0005
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