Provider Outcomes

Asthma: Provider Outcomes

Asthma: Provider Outcomes

Nurses tend to be in charge of managing home telehealth interventions. Patient-to-provider contact is generally asynchronous; the patient transmits data to a central server and the provider views this information at their leisure […]

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 […]

Cardiovascular Disease, Heart Failure: Provider Outcomes

Cardiovascular Disease, Heart Failure: Provider Outcomes

Summary Nurses feature prominently in interventions that use home telehealth for heart failure.  They are usually the first point of contact for the patient and are generally responsible for follow-up as well.  Follow-up may include referral to a physician, but there is considerable variation in the extent to which physicians are direct users of the […]

Cardiovascular Disease, Coronary Artery Disease: Provider Outcomes

Cardiovascular Disease, Coronary Artery Disease: Provider Outcomes

Summary Detailed descriptions of the human resource requirements of home telehealth interventions for the management of coronary artery disease are difficult to obtain.  Nurses are involved in virtually all interventions, with specialists frequently acting as co-implementers or consultants.  Multi-disciplinary teams and formal care coordination appear to be a rarity, although it is possible that this […]

Type 1 Diabetes: Provider Outcomes

Type 1 Diabetes: Provider Outcomes

Summary Descriptions of the types of providers involved in home telehealth for type 1 diabetes are scarce.  When given, they tend to be cursory.  Findings from other chronic diseases would suggest that nurses are usually responsible for patient contact and case management, but the evidence does not allow us to state this with certainty.  Physicians […]

Type 2 Diabetes: Provider Outcomes

Type 2 Diabetes: Provider Outcomes

Summary The ideal for which home telehealth interventions appear to strive is a care delivery system that allows for specialist consultation and ensures high continuity of care while minimizing physician time commitment.  This is most frequently accomplished through heavy involvement of nurses. Nurses tend to take primary responsibility for the administrative side of home telehealth […]

Renal Disease: Provider Outcomes

Renal Disease: Provider Outcomes

Summary As in other chronic disease areas, it appears that nurses are the providers most likely to be selected as overseers of home telehealth interventions.  Video- and web-conferencing systems may reduce appointment times, but it is not clear whether content is actually delivered more efficiently or whether time savings arise from reduced travel and wait […]

Stroke: Provider Outcomes

Stroke: Provider Outcomes

Summary As a general rule, home telehealth programs for post-stroke patients are delivered by physiotherapists and nurses.  The prominence of the former is due to the frequency with which home telehealth is used for post-stroke rehabilitation.  In cases where home telehealth is used in oral anticoagulation therapy, for education, or for emotional support, the health […]