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Home telehealth: mainstreaming what we do well.
Rita Kobb1, Neale R Chumbler, David M Brennan
1Department of Veterans Affairs, Office of Care Coordination Services, North Florida/South Georgia Veterans Health System, Lake City, Florida 32025, USA. Rita.kobb@va.gov
Summary
Home telehealth programs and research on chronic disease management have surged recently. This growth, especially for diabetes and heart failure, highlights the need to widely adopt proven telehealth solutions for better patient care.
Area of Science:
- Health Services Research
- Digital Health
- Chronic Disease Management
Background:
- Home telehealth programs have seen significant growth domestically and internationally over the last five years.
- Peer-reviewed literature increasingly details positive outcomes associated with home telehealth.
- The most substantial expansion in telehealth has occurred within patient populations managing diabetes, chronic obstructive pulmonary disease (COPD), and congestive heart failure (CHF).
Purpose of the Study:
- To review the developments, current status, opportunities, and challenges of home telehealth.
- To provide a foundation for understanding the reasons behind the need to mainstream effective telehealth practices.
- To synthesize existing knowledge on successful home telehealth interventions for chronic conditions.
Main Methods:
- Literature review of peer-reviewed publications on home telehealth.
- Analysis of trends in telehealth program implementation.
- Examination of outcomes in chronic disease management, preventive care, and self-management.
- Assessment of telehealth's current status, opportunities, and challenges.
Main Results:
- A notable increase in home telehealth program implementation globally.
- A corresponding rise in published research demonstrating positive telehealth outcomes.
- Significant growth observed in telehealth applications for diabetes, COPD, and CHF management.
- Identification of key opportunities and challenges in the widespread adoption of telehealth.
Conclusions:
- Home telehealth is a proven effective modality for chronic disease management.
- The increasing evidence base supports the broader integration of telehealth into standard healthcare.
- Addressing current challenges is crucial for mainstreaming successful telehealth programs and maximizing their benefits.
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