Topic > Patient Monitoring via Telemedicine - 1883

IntroductionTelemedicine is the monitoring by remote exchange of physiological data between a patient at home and healthcare providers in hospitals or clinics to assist in diagnosis and treatment. As our society ages and healthcare costs rise, government and private payers are seeking technological interventions. Technological solutions can provide high-quality healthcare services remotely, use professional resources more effectively, and allow the elderly and sick patients to remain in their homes. Patients may experience reduced hospital admissions and urgent care, and out-of-home care may not be necessary as the patient is monitored at home. However, no studies have been able to definitively demonstrate the benefits of telemedicine. This shift in healthcare delivery presents new ethical concerns and new boundaries in relationships between healthcare providers, patients, and families. This paper will discuss the benefits of telemedicine in specific patient populations, the cost benefits of using telemedicine, and the concerns related to the use of telemedicine. Literature Review Telemedicine has shown benefits in monitoring patients with chronic health conditions, decreasing hospital admissions and emergency room visits, and improving home-based treatment regimen compliance. Zimmerman & Barnason (2007) studied the use of telemedicine devices with cardiac surgery patients. Health Buddy devices can provide information, training and professional support to postoperative cardiac patients. Patient responses triggered several algorithms to further personalize postoperative interventions (Zimmerman & Barnason, 2006). Healthcare professionals were able to monitor recovery at home, progress following cardiac therapy. Teaching with Technology, 32(3), 189-194. Mackenzie, R., & Sakel, M. (2011, April/May). Teleneurology: ethics of devolution of responsibilities from doctors to families and/or healthcare professionals. British Journal of Neuroscience Nursing, 7(2), 490-493. Rothwell, E., Ellington, L., Planalp, S., & Crouch, B. (2011, August 25). Exploring challenges to telemedicine communication by poison information specialists. Qualitative health research, 22(1), 67-75. doi:10.1177/1049732311420446Shore, J. H., Brooks, E., Savin, D. M., Manson, S. M., & Libby, A. M. (2007, June). An economic evaluation of telehealth data collection with rural populations. Psychiatric Services, 58(6), 830-835. Zimmerman, L., & Barnason, S. (2006). Using a telemedicine device to provide symptom management intervention to cardiac surgery patients. Journal of Cardiovascular Nursing, 22(1), 32-37.