Tele-assistance in patients with amyotrophic lateral sclerosis: long term activity and costs
| Autor: | Michele Vitacca, Sonia Gilè, Domenico Fiorenza, Laura Comini, Giuliano Assoni, Simonetta Scalvini, Palmira Bernocchi |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Biomedical Engineering Physical Therapy Sports Therapy and Rehabilitation Kaplan-Meier Estimate Variable cost Speech and Hearing Hospital discharge medicine Humans Orthopedics and Sports Medicine In patient Amyotrophic lateral sclerosis Rehabilitation business.industry Amyotrophic Lateral Sclerosis Health Care Costs Continuity of Patient Care Middle Aged Time optimal medicine.disease Telemedicine Respiratory Function Tests Italy Emergency medicine Physical therapy Quality of Life Female business |
| Zdroj: | Disability and rehabilitation. Assistive technology. 7(6) |
| ISSN: | 1748-3115 |
| Popis: | To describe i) nurse's utilisation and associated costs during 4-year tele-assistance in amyotrophic lateral sclerosis (ALS) ii) optimal time for initiating tele-assistance.73 ALS patients after hospital discharge were followed up on voice by phone calls conducted by a nurse through a clinical card which was tested for feasibility, efficacy and utility. Number of patients simultaneously assisted/month, calls/patient, fixed and variable costs were calculated.Time between disease's diagnosis and the beginning of tele-assistance was 720 ± 971 days. ALS patients' percentage managed by nurses through tele-assistance increased over time by 628%. Tele-assistance integrated care (TAIC) followed up patients with a total of 5073 telephone calls. Steady state activity was reached at the 3rd year employing 5 ± 3 calls/pt/month (time/call 64 ± 44 min). Implementing the card was feasible, useful and effective by operator. Survival from diagnosis of ALS was 1224 ± 1150 days. Survival was related to tracheotomy.TAIC is a feasible tool to manage up to 25 ALS patients/month/nurse and costs about €105.00 per patient per month. Tele-assistance is proposed at 2/3 of time course of the disease. |
| Databáze: | OpenAIRE |
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