Stroke: Key Messages

  • Rehabilitation programs delivered through home telehealth can be as or more effective than conventional rehabilitation.


  • The fixed scheduling of rehabilitation programs makes it comparatively simple to determine human resource requirements for this type of home telehealth.


  • There is moderate evidence that remote monitoring for INR management can improve clinical stability in the short-term, but insufficient evidence of effects on mortality, complications, or emotional well-being.


  • The cost implications of home telehealth for stroke care are unknown.  There is currently little reason to believe that it reduces service use, but remote delivery of rehabilitation programs would presumably result in savings in travel time and travel costs.


  • Provider views are not known.  Those planning to implement home telehealth should consider conducting assessments of provider readiness, change management planning, and formative evaluation to assess uptake and satisfaction.

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