Effect of telehealth and telemonitoringalerts on service use in routine practicein England Xavier Chitnis Adam Steventon E...
Background • Growing interest in the use of telehealth to help manage long-   term health conditions • Although some trial...
Methods – study details  • North Yorkshire telehealth intervention began September    2009  • Tunstall “icp mymedic” syste...
Method - endpoints • Primary endpoint - time to emergency admission or death • Secondary endpoints - mortality and rates o...
Matching - characteristics                             © Nuffield Trust
Matching – hospital use                          © Nuffield Trust
Methods – telemonitoring alerts  • Analysis of impact of alerts         • Blood pressure         • Oxygen levels         •...
Summary• Address gaps in existing telehealth evidence base• Impact on primary care usage• Changes in service use linked to...
www.nuffieldtrust.org.uk        Sign-up for our newsletter        www.nuffieldtrust.org.uk/newsletter        Follow us on ...
Upcoming SlideShare
Loading in …5
×

Xavier Chitnis: the effects of telehealth on service use

1,506 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,506
On SlideShare
0
From Embeds
0
Number of Embeds
998
Actions
Shares
0
Downloads
6
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Xavier Chitnis: the effects of telehealth on service use

  1. 1. Effect of telehealth and telemonitoringalerts on service use in routine practicein England Xavier Chitnis Adam Steventon Elizabeth Fisher Martin Bardsley05 October 2012 © Nuffield Trust
  2. 2. Background • Growing interest in the use of telehealth to help manage long- term health conditions • Although some trials have produced encouraging results, the impact of telehealth has not been robustly assessed in routine settings • This study aims to quantify the impact of a large routine deployment of telehealth in North Yorkshire on the use of primary and secondary health care • Develop methods for routine monitoring of community-based interventions aiming to reduce hospital use © Nuffield Trust
  3. 3. Methods – study details • North Yorkshire telehealth intervention began September 2009 • Tunstall “icp mymedic” system • Eligibility criteria included history of heart failure, COPD or diabetes • Evaluation will include people recruited September 2009 – June 2013 (N=753, powered to detect 20% change in primary endpoint) • 4 interim reports to be provided during project © Nuffield Trust
  4. 4. Method - endpoints • Primary endpoint - time to emergency admission or death • Secondary endpoints - mortality and rates of general practice and hospital use, & secondary care costs • The impacts of telemonitoring alerts on rates of service use will also be assessed separately to the overall impact of telehealth • Compare to retrospectively selected controls – 2 groups • Local • National © Nuffield Trust
  5. 5. Matching - characteristics © Nuffield Trust
  6. 6. Matching – hospital use © Nuffield Trust
  7. 7. Methods – telemonitoring alerts • Analysis of impact of alerts • Blood pressure • Oxygen levels • Weight • Peak flow • Blood glucose • Regression discontinuity design – rates of service use following readings just above/below alert threshold © Nuffield Trust
  8. 8. Summary• Address gaps in existing telehealth evidence base• Impact on primary care usage• Changes in service use linked to telemonitoring alerts• Routine practice rather than trial setting• Aim to develop method for routine evaluation of community- based interventions © Nuffield Trust
  9. 9. www.nuffieldtrust.org.uk Sign-up for our newsletter www.nuffieldtrust.org.uk/newsletter Follow us on Twitter: Twitter.com/NuffieldTrust Xavier.Chitnis@nuffieldtrust.org.uk05 October 2012 © Nuffield Trust

×