COPD

Chronic Obstructive Pulmonary Disease: Introduction

Chronic Obstructive Pulmonary Disease: Introduction

Home telehealth for patients with chronic obstructive pulmonary disease (COPD) usually emphasizes remote monitoring. Patients send their providers regular health updates, including symptom reports and measurements of lung function […]

Chronic Obstructive Pulmonary Disease: Key Messages

Chronic Obstructive Pulmonary Disease: Key Messages

There is strong evidence that home telehealth is significantly more effective than usual care in reducing exacerbations, and some evidence that it can improve daily symptoms.   Patient satisfaction with home telehealth tends to be high.   Little research has been done on provider views.  One study reported strongly negative perceptions of videoconferencing-based case management, […]

Chronic Obstructive Pulmonary Disease: Scope of Literature

Chronic Obstructive Pulmonary Disease: Scope of Literature

Summary This review sought to collect and interpret the evidence on home telehealth for management of patients with chronic obstructive pulmonary disease. We looked at 3 areas: Patients: How is home telehealth used in treating people with COPD?  Do patients like it?  How clinically effective is it? Providers: What is the impact of home telehealth […]

Chronic Obstructive Pulmonary Disease: Intervention Design and Implementation

Chronic Obstructive Pulmonary Disease: Intervention Design and Implementation

Summary Home telehealth for patients with chronic obstructive pulmonary disease (COPD) usually emphasizes remote monitoring.  Patients send their providers regular health updates, including symptom reports and measurements of lung function.  The feedback that they receive assists them in determining how to adjust their medication and daily activity.  The provider may also contact the patient if […]

Chronic Obstructive Pulmonary Disease: Patient Outcomes

Chronic Obstructive Pulmonary Disease: Patient Outcomes

Summary There is strong evidence that home telehealth can reduce COPD exacerbations significantly more than usual care. The ability of home telehealth to significantly improve other measures of physiological function, such as response to exertion, is supported by moderate evidence.  The paucity of studies reporting on this particular outcome means that the generalizability of these […]

Chronic Obstructive Pulmonary Disease: Provider Outcomes

Chronic Obstructive Pulmonary Disease: Provider Outcomes

Summary Multi-disciplinary teams and an integrated care approach are frequently used in home telehealth for COPD.  However, nurses tend to have primary responsibility for case management and daily monitoring of patients’ data transmissions. The average amount of time required to implement and administer a home telehealth program is rarely reported and is therefore difficult to […]

Chronic Obstructive Pulmonary Disease: System Outcomes

Chronic Obstructive Pulmonary Disease: System Outcomes

Summary The economic effects of home telehealth can be discussed using direct or indirect measures of costs and cost savings.  Direct measures include figures such as cost per patient, cost per telehealth unit, and annual costs.  Examples of indirect measures are probability of patient hospitalization, number of emergency room visits, and other types of health […]

Chronic Obstructive Pulmonary Disease: Works Cited

Chronic Obstructive Pulmonary Disease: Works Cited

Dinesen, B., Haesum, LKE, Soerensen, N., Nielsen, C., Grann, O., Hejlesen, O., Toft, E., & Ehlers, L. (2012). Using preventive home monitoring to reduce hospital admission rates and reduce costs: a case study of telehealth among chronic obstructive pulmonary disease patients. Journal of Telemedicine and Telecare, 18(4): 221-225. Lewis et al. (2010b), Home telemonitoring and […]

Chronic Obstructive Pulmonary Disease: Master Table

Chronic Obstructive Pulmonary Disease: Master Table

Click on a column’s arrow to sort by that column.  To view a larger version of the table, click on the icon in its lower right corner. See also COPD – Works Cited.