The document summarizes 3 examples of successful personal internet support and telecare highlighted in a systematic review of e-Health technologies: 1) Puff City asthma management program which saw significant reductions in symptoms and hospitalization through educational computer sessions and normative/ipsative feedback for urban, African-American high school students. 2) Carelink internet-based insulin pump monitoring system which showed HbA1c reduction versus non-users as rural and urban children were able to upload data and email their diabetes provider. 3) Post-discharge heart monitoring program which significantly reduced readmission rates and length of stay for angina patients and improved quality of life and functional status for patients with angina and heart

1. 3 examples of success in personal Internet support & telecare: Consumer-centric highlights of a systematic review of e-Health Jim Warren, Chris Paton, Karen Day, Will Reedy & Malcolm Pollock

3. Overall results of review process 50 of these articles concerned ‘consumer’ systems

4. Consumer system types Not a lot of evidence of benefit yet, but seeing use Type Description Messaging Consumer communicates with their regular face-to-face practice (e.g., make appointment, view/query lab test) Teleconsult Consumer communicates to clinical service providers with no face-to-face relationship (‘ask the doctor’ service) Education / Self-management Consumer learning and doing for themselves Family The user is a person supporting the ill person Telemedicine The consumer is remotely monitored with some degree of participation by self and/or family Borderline E.g., service needs assessment tools