Related Experiment Videos
New technologies for chronic disease management and control: a systematic review
Francisca García-Lizana1, Antonio Sarría-Santamera
1Agency for Health Technology Assessment, Institute of Health Carlos III, Madrid, Spain. fglizana@isciii.es
Journal of Telemedicine and Telecare
|March 16, 2007
Summary
Information and communication technologies (ICTs) show limited clinical benefits for chronic disease management overall. However, specific ICT applications for cardiovascular disease detection and patient education demonstrated positive outcomes, warranting further research.
Area of Science:
- Health Informatics
- Digital Health
- Chronic Disease Management
Background:
- Chronic diseases pose a significant global health burden, necessitating innovative management strategies.
- Information and communication technologies (ICTs) offer potential solutions for improving patient care and disease control.
- Existing evidence on the clinical effectiveness of ICTs in chronic disease management requires systematic evaluation.
Purpose of the Study:
- To systematically review the clinical effectiveness of information and communication technologies (ICTs) for managing chronic diseases.
- To identify specific ICT applications and disease areas where benefits are most pronounced.
- To assess the overall impact of ICTs on clinical outcomes and healthcare utilization.
Main Methods:
- A systematic review of randomized clinical trials was conducted.
- Electronic databases were searched for studies evaluating ICT interventions (excluding telephone-only) with clinical outcome measures.
- Data were independently reviewed and assessed by two researchers, including 24 final studies across asthma, hypertension, diabetes, heart failure, and cardiovascular disease prevention.
Main Results:
- Overall, ICT interventions did not demonstrate significant improvements in general clinical outcomes for chronic diseases.
- No adverse effects were reported for the included ICT applications.
- ICTs specifically for cardiovascular disease detection and follow-up showed improved clinical outcomes, reduced mortality, and lower healthcare utilization.
- ICT systems focused on patient education and social support proved effective.
Conclusions:
- The current evidence base for the widespread clinical benefits of ICTs in chronic disease management remains limited.
- Targeted applications of ICTs, particularly in cardiovascular health and patient support, show promise.
- Further research is needed to fully elucidate the potential of ICTs in optimizing chronic disease care.
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
01:15Diabetes: Management and Pharmacotherapy
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
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
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...