×
Home Current Archive Editorial board
News Contact
Articles

Personalized Telehealth in the Future: A Global Research Agenda

By
Birthe Dinesen ,
Birthe Dinesen
Brandie Nonnecke ,
Brandie Nonnecke
David Lindeman ,
David Lindeman
Egon Toft ,
Egon Toft
Kristian Kidholm ,
Kristian Kidholm
Kamal Jethwani ,
Kamal Jethwani
Heather M Young ,
Heather M Young
Helle Spindler ,
Helle Spindler
Claus Ugilt Oestergaard ,
Claus Ugilt Oestergaard
Jeffrey A Southard ,
Jeffrey A Southard
Mario Gutierrez ,
Mario Gutierrez
Nick Anderson ,
Nick Anderson
Nancy M Albert ,
Nancy M Albert
Jay J Han ,
Jay J Han
Thomas Nesbitt
Thomas Nesbitt

Abstract

Telecommunication technologies have been used to bring healthcare expertise to the point of care since the 19th century. In 1878, The Lancet reported the use of the telephone to reduce unnecessary physician visits and, in 1910, a tele-stethoscope had already been described.1 During the mid-20th century, NASA (National Aeronautics and Space Administration) used remote monitoring systems to measure astronauts’ physiological functions. The Space Technology Applied to Rural Papago Advanced Health Care project further developed this field with the Papago Indians in the southwestern U.S.2 However, the greatest strides in remote monitoring technologies for telehealth have occurred over the last 10 years, with a growing evidence base showing their effectiveness in the management of chronic disease.

References

1.
Bashshur R, Shannon G, Krupinski E. National telemedicine initiatives: essential to healthcare reform. Telemed J E Health. 2009;(6):600–10.
2.
Freiburger G, Holcomb M, Piper D. The STARPAHC collection: part of an archive of the history of telemedicine. J Telemed Telecare. 2007;(5):221–3.
3.
Bartolini E, Mcneill N. The Network for Excellence in Health Innovation. 2012;
4.
Dang S, Remon N, Harris J. Care coordination assisted by technology for multiethnic caregivers of persons with dementia: a pilot clinical demonstration project on caregiver burden and depression. J Telemed Telecare. 2008;(8):443–7.
5.
Wootton R. Twenty years of telemedicine in chronic disease management--an evidence synthesis. J Telemed Telecare. 2012;(4):211–20.
6.
Benjamin R. Multiple chronic conditions: a public health challenge. Public Health Rep. 2010;(5):626–7.
7.
Anderson N, Edwards K. Building a chain of trust: using policy and practice to enhance trustworthy clinical data discovery and sharing.
8.
Austin T. 2010;15–20.
9.
Busse R, Blümel M, Scheller-Kreinsen D, Zentner A. The European Observatory on Health Systems and Policies. 2010;
10.
Dinesen B, Nonnecke B, Lindeman D, Toft E, Kidholm K, Jethwani K, et al. Personalized Telehealth in the Future: A Global Research Agenda. Telehealth and Medicine Today. 2018;2(3).
11.
home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemed J E Health. 2008;(10):1118–26.
12.
Sorknaes A, Bech M, Madsen H. The effect of real-time teleconsultations between hospital-based nurses and patients with severe COPD discharged after an exacerbation. J Telemed Telecare. 2013;(8):466–74.
13.
Polisena J, Tran K, Cimon K. Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Telemed Telecare. 2010;(3):120–7.
14.
Boutwell A, Hwu S. Effective Interventions to Reduce Rehospitalizations: A Survey of the Published Evidence. 2009;
15.
Zanaboni P, Wootton R. Adoption of telemedicine: from pilot stage to routine delivery. BMC Med Inform Decis Mak. 2012;(1):1–9.
16.
Lindeman D. Interview: lessons from a leader in telehealth diffusion: a conversation with Adam Darkins of the Veterans Health Administration. Ageing Int. 2010;(1):146–54.
17.
Rojas S, Gagnon M. A systematic review of the key indicators for assessing telehomecare cost-effectiveness. Telemed J E Health. 2008;(9):896–904.
18.
Bondmass M, Bolger N, Castro G, Avitall B. The effect of physiologic home monitoring and telemanagement on chronic heart failure outcomes. J Adv Nurs. 1998;(2):1–10.
19.
Vaccaro J, Cherry J, Harper A, Connell O, M. Utilization reduction, cost savings, and return on investment for the PacifiCare chronic heart failure program, Taking Charge of Your Heart Health. Dis Manage. 2001;(3):131–42.
20.
Maiolo C, Mohamed E, Fiorani C, Lorenzo D, A. Home telemonitoring for patients with severe respiratory illness: the Italian experience. J Telemed Telecare. 2003;(2):67–71.
21.
Scalvini S, Capomolla S, Zanelli E. Effect of home-based telecardiology on chronic heart failure: costs and outcomes. J Telemed Telecare. 2005;(Suppl 1):16–8.
22.
Dinesen B, Nonnecke B, Lindeman D, Toft E, Kidholm K, Jethwani K, et al. Personalized Telehealth in the Future: A Global Research Agenda. Telehealth and Medicine Today. 2018;2(3).
23.
Arch Intern Med. 2003;(3):347–52.
24.
Southard B, Southard D, Nuckolls J. Clinical trial of an Internet-based case management system for secondary prevention of heart disease. J Cardiopulm Rehabil. 2003;(5):341–8.
25.
Giordano A, Scalvini S, Zanelli E. Multicenter randomised trial on home-based telemanagement to prevent hospital readmission of patients with chronic heart failure. Int J Cardiol. 2009;(2):192–9.
26.
Bashshur R, Shannon G, Smith B. The empirical foundations of telemedicine interventions for chronic disease management. Telemed J E Health. 2014;(9):769–800.
27.
Mistry H. Systematic review of studies of the cost-effectiveness of telemedicine and telecare. Changes in the economic evidence over twenty years. J Telemed Telecare. 2012;(1):1–6.
28.
Steventon A, Bardsley M, Billings J. Whole System Demonstrator Evaluation Team Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial. BMJ. 2012;3874.
29.
Cartwright M, Hirani S, Rixon L. Whole Systems Demonstrator Evaluation Team Effect of telehealth on quality of life and psychological outcomes over 12 months (Whole Systems Demonstrator telehealth questionnaire study): nested study of patient reported outcomes in a pragmatic, cluster randomised controlled trial. BMJ. 2013;653.
30.
Henderson C, Knapp M, Fernández J. Whole System Demonstrator evaluation team Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial. BMJ. 2013;1035.
31.
Hendy J, Chrysanthaki T, Barlow J. An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator. BMC Health Serv Res. 2012;403.
32.
Dinesen B, Nonnecke B, Lindeman D, Toft E, Kidholm K, Jethwani K, et al. Personalized Telehealth in the Future: A Global Research Agenda. Telehealth and Medicine Today. 2018;2(3).
33.
adoption of telehealth and telecare within the Whole System Demonstrator trial: a qualitative study. BMC Health Serv Res. 2012;220.
34.
Or C, Karsh B. A systematic review of patient acceptance of consumer health information technology. J Am Med Inform Assoc. 2009;(4):550–60.
35.
Berwick D, Nolan T, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood). 2008;(3):759–69.
36.
2011;
37.
Center for Connected Health Policy State Telehealth Laws and Reimbursement Policies: A Comprehensive Scan of the 50 States and District of Columbia. 2015;
38.
39.
Currie W, Seddon J. A cross-national analysis of eHealth in the EU: Some policy and research directions. Inform Manage. 2014;(6):783–97.
40.
Doarn C, Pruitt S, Jacobs J. Federal efforts to define and advance telehealth--a work in progress. Telemed J E Health. 2014;(5):409–18.
41.
Moen A, Hackl W, Hofdijk J. eHealth in Europe: status and challenges. Eur J Biomed Inform. 2012;(1):2–7.
42.
Kvedar J, Coye M, Everett W. Connected health: a review of technologies and strategies to improve patient care with telemedicine and telehealth. Health Aff (Millwood). 2014;(2):194–9.
43.
Dinesen B, Gustafsson J, Nøhr C. Telehomecare technology across sectors: claims of jurisdiction and emerging controversies. Int J Integr Care. 2007;43.
44.
Dinesen B, Toft E. Telehomecare challenge collaboration among healthcare professionals. Wireless Pers Commun. 2009;(4):711–24.
45.
Dinesen B, Nonnecke B, Lindeman D, Toft E, Kidholm K, Jethwani K, et al. Personalized Telehealth in the Future: A Global Research Agenda. Telehealth and Medicine Today. 2018;2(3).
46.
Dinesen B, Spindler H. Individualized telerehabilitation for heart patients across municipalities, hospitals and medical disciplines: preliminary findings from the Teledialog project. Int J Integr Care. 2014;(8):10–1.
47.
Kidholm K, Stafylas P, Kotzeva A. Renewing Health: Final Report-Public version 1. 2014;
48.
Mastermind. 2015;
49.
Schaffer J. For The Record. 2012;
50.
European Commission The 2014 EU Summit on Chronic Diseases. 3AD;
51.
Levin K, Madsen J, Petersen I, Wanscher C, Hangaard J. Telemedicine diabetes consultations are cost-effective, and effects on essential diabetes treatment parameters are similar to conventional treatment: 7-year results from the Svendborg Telemedicine Diabetes Project. J Diabetes Sci Technol. 2013;(3):587–95.
52.
Skrøvseth S, Årsand E, Godtliebsen F, Joakimsen R. Data-driven personalized feedback to patients with type 1 diabetes: a randomized trial. Diabetes Technol Ther. 2015;(7):482–9.
53.
Klonoff D. Using telemedicine to improve outcomes in diabetes--an emerging technology. J Diabetes Sci Technol. 2009;(4):624–8.
54.
2014;
55.
Dinesen B, Nonnecke B, Lindeman D, Toft E, Kidholm K, Jethwani K, et al. Personalized Telehealth in the Future: A Global Research Agenda. Telehealth and Medicine Today. 2018;2(3).
56.
Broderick A. Case Studies in Telehealth Adoption. 2013;
57.
Anderson N, Bragg C, Hartzler A, Edwards K. Participant-centric initiatives: tools to facilitate engagement in research. Appl Transl Genom. 2012;25–9.
58.
Kaye J, Curren L, Anderson N. From patients to partners: participant-centric initiatives in biomedical research. Nat Rev Genet. 2012;(5):371–6.
59.
Anderson G. Chronic care: making the case for ongoing care. 2010;
60.
Greenwood D, Young H, Quinn C. Telehealth remote monitoring systematic review: structured self-monitoring of blood glucose and impact on A1C. J Diabetes Sci Technol. 2014;(2):378–89.
61.
De Graaf M, Knol M, Totté J. E-learning enables parents to assess an infantile hemangioma. J Am Acad Dermatol. 2014;(5):893–8.
62.
George S, Moran E, Fish A, Ogunyemi L. Understanding the digital divide in the clinical setting: the technology knowledge gap experienced by U.S. safety net patients during teleretinal screening. Stud Health Technol Inform. 2013;946.
63.
Zvornicanin E, Zvornicanin J, Hadziefendic B. The use of smart phones in ophthalmology. Acta Inform Med. 2014;(3):206–9.
64.
Zangbar B, Pandit V, Rhee P. Smartphone surgery: how technology can transform practice. Telemed J E Health. 2014;(6):590–2.
65.
Wallace L, Dhingra L. A systematic review of smartphone applications for chronic pain available for download in the U.S. J Opioid Manag. 2014;(1):63–8.
66.
Park C, Kim G, Patel I, Chang J, Tan X. Improving adherence to acne treatment: the emerging role of application software. Clin Cosmet Investig Dermatol. 2014;65–72.
67.
Gerber B, Schiffer L, Brown A. Video telehealth for weight maintenance of African-American women. J Telemed Telecare. 2013;(5):266–72.
68.
Dinesen B, Nonnecke B, Lindeman D, Toft E, Kidholm K, Jethwani K, et al. Personalized Telehealth in the Future: A Global Research Agenda. Telehealth and Medicine Today. 2018;2(3).
69.
Gee P, Greenwood D, Paterniti D, Ward D, Miller L. The eHealth Enhanced Chronic Care Model: a theory derivation approach. J Med Internet Res. 2015;(4):86.
70.
Chen S, Cheng A, Mehta K. A review of telemedicine business models. Telemed J E Health. 2013;(4):287–97.
71.
Kidholm K, Ølholm A, Birk-Olsen M, Cicchetti A, Fure B, Halmesmäki E, et al. Hospital managers’ need for information in decision-making -An interview study in nine European countries. Health Policy. 2015;(11):1424–32.
72.
Kidholm K, Ekeland A, Jensen L. A model for assessment of telemedicine applications: mast. Int J Technol Assess Health Care. 2012;(1):44–51.
73.
Rosenbek M, Hansen L, Pedersen C. Early telemedicine training and counselling after hospitalization in patients with severe chronic obstructive pulmonary disease: a feasibility study. BMC Med Inform Decis Mak. 2015;3.
74.
Rasmussen B, Froekjaer J, Bjerregaard M. A randomized controlled trial comparing telemedical and standard outpatient monitoring of diabetic foot ulcers. Diabetes Care. 2015;(9):1723–9.
75.
Lustig T. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. 2012;
76.
President’s Council of Advisors on Science and Technology Better Health Care and Lower Costs: Accelerating Improvement through Systems Engineering. 2014;
77.
Dinesen B, Nonnecke B, Lindeman D, Toft E, Kidholm K, Jethwani K, et al. Personalized Telehealth in the Future: A Global Research Agenda. Telehealth and Medicine Today. 2018;2(3).
78.
Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions: eHealth Action Plan 2012-2020 -Innovative healthcare for the 21st century. 2012;
79.
Digitaliseringsstyrelsen. 2014;
80.
81.
Harvard Medical School.
82.
Citizens & Labor Market, Esbjerg Municipality.
83.
CA, United States 11.

Citation

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.