Journal
HEALTH INFORMATICS JOURNAL
Volume 15, Issue 2, Pages 122-146Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1460458209102973
Keywords
chronic disease management; home-based interventions; information technology; telehomecare; telemonitoring
Funding
- Healthphone Solutions Ltd
- New Zealand Foundation for Research Science and Technology
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This article presents a systematic literature review done to evaluate the feasibility and benefits of home-based information and communications technology enabled interventions for chronic disease management, with emphasis on their impact on health outcomes and costs. Relevant articles were retrieved from PubMed and evaluated using quality worksheets with pre-identified inclusion and exclusion criteria. Of the 256 articles retrieved, 27 were found to concord with the study criteria. Evaluation of the identified articles was conducted irrespective of study design, type of home-based intervention or chronic disease involved. The review demonstrates that HBIs applied to chronic disease management improve functional and cognitive patient outcomes and reduce healthcare spending. However, further research is needed to assess benefit in terms of evidence-based outcome indicators (that can provide a basis for meta-analysis), to confirm sustainable cost benefits, and to systematically collect data on physician satisfaction with patient management.
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