Perspectives from the Kidney Health Initiative on Advancing Technologies to Facilitate Remote Monitoring of Patient Self-Care in RRT.
| Autor: | Rosner MH; University of Virginia, Charlottesville, Virginia., Lew SQ; George Washington University, Washington, DC., Conway P; American Association of Kidney Patients, St. Petersburg, Florida., Ehrlich J; University of Iowa Children's Hospital, Iowa City, Iowa., Jarrin R; Qualcomm, Inc., San Diego, California., Patel UD; Gilead Sciences, Incorporated, Foster City, California., Rheuban K; University of Virginia, Charlottesville, Virginia., Robey RB; Geisel School of Medicine at Dartmouth and US Department of Veterans Affairs, Hanover, New Hampshire., Sikka N; George Washington University, Washington, DC., Wallace E; University of Alabama at Birmingham, Birmingham, Alabama., Brophy P; University of Iowa Carver College, Iowa City, Iowa; and., Sloand J; Baxter International, Inc., Deerfield, Illinois. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical journal of the American Society of Nephrology : CJASN [Clin J Am Soc Nephrol] 2017 Nov 07; Vol. 12 (11), pp. 1900-1909. Date of Electronic Publication: 2017 Jul 14. |
| DOI: | 10.2215/CJN.12781216 |
| Abstrakt: | Telehealth and remote monitoring of a patient's health status has become more commonplace in the last decade and has been applied to conditions such as heart failure, diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. Conversely, uptake of these technologies to help engender and support home RRTs has lagged. Although studies have looked at the role of telehealth in RRT, they are small and single-centered, and both outcome and cost-effectiveness data are needed to inform future decision making. Furthermore, alignment of payer and government (federal and state) regulations with telehealth procedures is needed along with a better understanding of the viewpoints of the various stakeholders in this process (patients, caregivers, clinicians, payers, dialysis organizations, and government regulators). Despite these barriers, telehealth has great potential to increase the acceptance of home dialysis, and improve outcomes and patient satisfaction while potentially decreasing costs. The Kidney Health Initiative convened a multidisciplinary workgroup to examine the current state of telehealth use in home RRTs as well as outline potential benefits and drawbacks, impediments to implementation, and key unanswered questions. (Copyright © 2017 by the American Society of Nephrology.) |
| Databáze: | MEDLINE |
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