4.6 Article

Home Telehealth in the Veterans Health Administration: Trends and Correlates of Length of Enrollment from 2010 to 2017

期刊

JOURNAL OF GENERAL INTERNAL MEDICINE
卷 37, 期 12, 页码 3089-3096

出版社

SPRINGER
DOI: 10.1007/s11606-022-07452-1

关键词

telehealth; remote patient monitoring; chronic disease self-management

资金

  1. Department of Veterans Affairs, Veterans Health Administration
  2. Primary Care Analytics Team
  3. VHA Office of Primary Care
  4. Office of Research and Development, Health Services Research and Development [16-154]

向作者/读者索取更多资源

This study examines the usage and trends of home telehealth program in the Veterans Health Administration (VHA) from 2010 to 2017. Over 400,000 veterans were enrolled in the program for chronic disease management, with more than half staying in the program for more than 8 months.
Background Home telehealth (HT) programs enable communication and remote monitoring of patient health data between clinician visits, with the goal of improving chronic disease self-management and outcomes. The Veterans Health Administration (VHA) established one of the earliest HT programs in the country in 2003; however, little is known about how these services have been utilized and expanded over the last decade. Objective To describe trends in use of VHA's HT program from 2010 through 2017 and correlates of length of enrollment in HT services. Design Retrospective observational cohort study. Participants Patients enrolled in HT between January 1, 2010 and December 31, 2017. Main Measures We described the number and characteristics of patients enrolled in HT, including the chronic conditions managed. We also identified length of HT enrollment and examined patient and facility characteristics associated with longer enrollment. Key Results The total number of patients enrolled in HT was 402,263. At time of enrollment, half were >65 years old, 91% were male, and 59.3% lived in urban residences. The most common conditions addressed by HT were hypertension (28.8%), obesity (23.9%), and diabetes (17.0%). The median time to disenrollment in HT was 261 days (8.6 months) but varied by chronic condition. In a multivariable Cox proportional hazards model, covariates associated with higher likelihood of staying enrolled were older age, male gender, non-Hispanic Black race/ethnicity, lower neighborhood socioeconomic status, living in a more rural setting, and a greater burden of comorbidities per the Gagne index. Conclusions Across 8 years, over 400,000 veterans engaged in HT services for chronic disease management and over half remained in the program for longer than 8 months. Our work provides a real-world evaluation of HT service expansion in the VHA. Additional studies are necessary to identify optimal enrollment duration and patients most likely to benefit from HT services.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据