Chapter

Electronic Healthcare

Volume 0001 of the series Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering pp 66-73

Bridging the Self-care Deficit Gap: Remote Patient Monitoring and the Hospital-at-Home

  • Joseph A. CafazzoAffiliated withCentre for Global eHealth Innovation, Toronto General Hospital, University Health NetworkHealth Policy, Management and Evaluation, Faculty of Medicine, University of TorontoInstitute of Biomaterial and Biomedical Engineering, Faculty of Medicine, University of Toronto
  • , Kevin LeonardAffiliated withCentre for Global eHealth Innovation, Toronto General Hospital, University Health NetworkHealth Policy, Management and Evaluation, Faculty of Medicine, University of Toronto
  • , Anthony C. EastyAffiliated withCentre for Global eHealth Innovation, Toronto General Hospital, University Health NetworkInstitute of Biomaterial and Biomedical Engineering, Faculty of Medicine, University of Toronto
  • , Peter G. RossosAffiliated withCentre for Global eHealth Innovation, Toronto General Hospital, University Health NetworkDepartment of Medicine, University Health Network, Faculty of Medicine, University of Toronto
  • , Christopher T. ChanAffiliated withDepartment of Medicine, University Health Network, Faculty of Medicine, University of Toronto

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Abstract

This study examines the use of a remote patient monitoring intervention to address the challenge of patient self-care in complex hospital-at-home therapies. It was shown that in a home hemodialysis patient group, remote patient monitoring facilitated self-care and was supported by patients and, in particular, family caregivers. This does not come without cost to the patient however, who now has greater personal responsibility and accountability for their health management. Promising results from this study indicate that most patients are willing to assume this cost in exchange for the possibility of improved health outcomes.

Keywords

Self Care Telemedicine Monitoring Physiologic Telemetry Hemodialysis Home