Related Experiment Video
Updated: Aug 6, 2026
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Telemedicine experience for chronic care in COPD
Paula de Toledo1, Silvia Jiménez, Francisco del Pozo
1Informatics Department, Carlos III University, Madrid, Spain. paula@gbt.tfo.upm.es
Summary
Integrated telemedicine for chronic obstructive pulmonary disease (COPD) home care reduced readmissions by 51% compared to 33% in control groups. This technology supports healthcare professionals and improves patient health outcomes effectively.
Area of Science:
- Healthcare Technology
- Digital Health
- Chronic Disease Management
Background:
- Healthcare systems face challenges managing chronic diseases.
- Information and telecommunication technologies are crucial for healthcare transformation.
- Chronic obstructive pulmonary disease (COPD) requires effective home care strategies.
Purpose of the Study:
- To report on a telemedicine experience for home care of COPD patients.
- To evaluate the impact of an integrated telemedicine system on patient health outcomes.
- To assess the effectiveness of telemedicine in reducing readmissions and mortality.
Main Methods:
- A one-year clinical experiment (2002) involving 157 COPD patients.
- Utilized an integrated telemedicine system with an electronic chronic patient record (ECPR).
- Intervention group received home follow-up, call center access, and shared ECPR; control group received standard care.
Main Results:
- Telemedicine services significantly increased the number of patients not readmitted (51% intervention vs. 33% control).
- Integrated telemedicine services were found to be acceptable to healthcare professionals.
- The system demonstrated low installation and exploitation costs.
Conclusions:
- Integrated home telemedicine services effectively support healthcare professionals in managing chronic diseases.
- Telemedicine can improve the health outcomes of patients with chronic conditions like COPD.
- Further research is recommended to explore the specific roles of telemonitoring and televisit services.
Related Concept Videos
01:29Chronic Obstructive Pulmonary Disease-V: Management
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
01:26COPD: Management Using Bronchodilators and Corticosteroids
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
01:24Chronic Obstructive Pulmonary Disease
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.