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A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: Protocol for the whole systems demonstrator cluster randomised trial

Bower, P; Rogers, A; Sanders, C; Cartwright, M; Hirani, SP; Newman, S; Barlow, J; ... Doll, H; + view all (2011) A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: Protocol for the whole systems demonstrator cluster randomised trial. BMC Health Services Research , 11 , Article 184. 10.1186/1472-6963-11-184. Green open access

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Abstract

Background: It is expected that increased demands on services will result from expanding numbers of older people with long-term conditions and social care needs. There is significant interest in the potential for technology to reduce utilisation of health services in these patient populations, including telecare (the remote, automatic and passive monitoring of changes in an individual's condition or lifestyle) and telehealth (the remote exchange of data between a patient and health care professional). The potential of telehealth and telecare technology to improve care and reduce costs is limited by a lack of rigorous evidence of actual impact. Methods/Design. We are conducting a large scale, multi-site study of the implementation, impact and acceptability of these new technologies. A major part of the evaluation is a cluster-randomised controlled trial of telehealth and telecare versus usual care in patients with long-term conditions or social care needs. The trial involves a number of outcomes, including health care utilisation and quality of life. We describe the broad evaluation and the methods of the cluster randomised trial. Discussion. If telehealth and telecare technology proves effective, it will provide additional options for health services worldwide to deliver care for populations with high levels of need. Trial Registration. Current Controlled Trials ISRCTN43002091. © 2011 Bower et al; licensee BioMed Central Ltd.

Type: Article
Title: A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: Protocol for the whole systems demonstrator cluster randomised trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1472-6963-11-184
Publisher version: http://dx.doi.org/10.1186/1472-6963-11-184
Language: English
Additional information: © 2011 Bower et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/1383458
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