Evaluation of a Care Coordination/Home-Telehealth Program for Veterans with Diabetes
| Autor: | Patricia Ryan, Yongsung Joo, Rita Kobb, Neale R. Chumbler, Haijing Qin, Britta Neugaard |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine Multivariate analysis Health Status Home Care Services Hospital-Based Telehealth Medical Records law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Regression toward the mean Health care medicine Humans 030212 general & internal medicine Aged Veterans business.industry 030503 health policy & services Health Policy Medical record Puerto Rico medicine.disease humanities Diabetes Mellitus Type 2 Emergency medicine Florida Quality of Life Female Medical emergency 0305 other medical science business |
| Zdroj: | Evaluation & the Health Professions. 28:464-478 |
| ISSN: | 1552-3918 0163-2787 |
| DOI: | 10.1177/0163278705281079 |
| Popis: | We evaluated a Veterans Health Administration (VHA) care coordination/ hometelehealth (CC/HT) programon the utilization of health care services and health-related quality of life (HRQL) in veterans with diabetes. Administrative records of 445 veterans with diabetes were reviewed to compare health care service utilization in the 1-year period before and 1-year period postenrollment and also examined self-reported HRQL at enrollment and 1 year later. Multivariate analyses indicated a statistically significant reduction in the proportion of patients who were hospitalized (50% reduction), emergency room use (11% reduction), reduction in the average number of bed days of care (decreased an average of 3.0 days), and improvement in the HRQL role-physical functioning, bodily pain, and social functioning. The results need to be interpreted with caution because we used a single-group study design that may be influenced by regression to the mean. Ideally, future research should use a randomized controlled trial design. |
| Databáze: | OpenAIRE |
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