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Cited by 816Telemedicine and Telehealth ImplementationMobile Health and mHealth ApplicationsTechnology Use by Older Adults

Systematic Review of Home Telemonitoring for Chronic Diseases: The Evidence Base

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Pare, G., Jaana, M., Sicotte, C.·2007·Journal of the American Medical Informatics Association
DOI 10.1197/jamia.m2270PMC PMC2244878
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Abstract

OBJECTIVE: Home telemonitoring represents a patient management approach combining various information technologies for monitoring patients at distance. This study presents a systematic review of the nature and magnitude of outcomes associated with telemonitoring of four types of chronic illnesses: pulmonary conditions, diabetes, hypertension, and cardiovascular diseases. METHODS: A comprehensive literature search was conducted on Medline and the Cochrane Library to identify relevant articles published between 1990 and 2006. A total of 65 empirical studies were obtained (18 pulmonary conditions, 17 diabetes, 16 cardiac diseases, 14 hypertension) mostly conducted in the United States and Europe. RESULTS: The magnitude and significance of the telemonitoring effects on patients' conditions (e.g., early detection of symptoms, decrease in blood pressure, adequate medication, reduced mortality) still remain inconclusive for all four chronic illnesses. However, the results of this study suggest that regardless of their nationality, socioeconomic status, or age, patients comply with telemonitoring programs and the use of technologies. Importantly, the telemonitoring effects on clinical effectiveness outcomes (e.g., decrease in the emergency visits, hospital admissions, average hospital length of stay) are more consistent in pulmonary and cardiac studies than diabetes and hypertension. Lastly, economic viability of telemonitoring was observed in very few studies and, in most cases, no in-depth cost-minimization analyses were performed. CONCLUSION: Home telemonitoring of chronic diseases seems to be a promising patient management approach that produces accurate and reliable data, empowers patients, influences their attitudes and behaviors, and potentially improves their medical conditions. Future studies need to build evidence related to its clinical effects, cost effectiveness, impacts on services utilization, and acceptance by health care providers.

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Authors
Pare, G., Jaana, M., & Sicotte, C.
Affiliations
HEC Montréal (CA)
ORCID
Venue
Journal of the American Medical Informatics Association
Publisher
Oxford University Press (OUP)
Published
2007-05-01
Volume
14
Issue
3
Pages
269-277
ISSN
  • 1067-5027 (ISSN-L)
  • 1527-974X
DOI
10.1197/jamia.m2270
PMC
PMC2244878
OpenAlex
W2123527701
Cited by
816
References
4
Citations by year
2026: 9 · 2025: 24 · 2024: 22 · 2023: 49 · 2022: 26 · 2021: 35 · 2020: 33 · 2019: 30 · 2018: 48 · 2017: 55 · 2016: 67 · 2015: 60 · 2014: 64 · 2013: 51 · 2012: 61
FWCI
6.26
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Medical Informatics Association (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Social Sciences › Demography › Technology Use by Older Adults
Keywords
home health monitoring, chronic disease, remote patient monitoring, pulmonary conditions, diabetes mellitus, hypertension, cardiovascular disease, emergency department visits, hospitalization, length of hospital stay, medication adherence, cost-effectiveness, clinical effectiveness
MeSH terms
Chronic Disease, Home Care Services, Humans, Monitoring, Physiologic, Self Care, Telemetry, Patient Satisfaction, Telemedicine

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