Remote Monitoring of Chronic Diseases: A Landscape Assessment of Policies in Four European Countries

نویسندگان

  • Katherine Rojahn
  • Suzanne Laplante
  • James Sloand
  • Claire Main
  • Aftab Ibrahim
  • Janet Wild
  • Nicky Sturt
  • Thelga Areteou
  • K. Ian Johnson
چکیده

BACKGROUND Remote monitoring (RM) is defined as the surveillance of device-transmitted outpatient data. RM is expected to enable better management of chronic diseases. The objective of this research was to identify public policies concerning RM in four European countries. METHODS Searches of the medical literature, the Internet, and Ministry of Health websites for the United Kingdom (UK), Germany, Italy, and Spain were performed in order to identify RM policies for chronic diseases, including end stage renal disease (ESRD), chronic pulmonary obstructive disease (COPD), diabetes, heart failure, and hypertension. Searches were first performed in Q1 2014 and updated in Q4 2015. In addition, in depth interviews were conducted with payers/policymakers in each country. Information was obtained on existing policies, disease areas and RM services covered and level of reimbursement, other incentives such as quality indicators, past/current assessments of RM technologies, diseases perceived to benefit most from RM, and concerns about RM. RESULTS Policies on RM and/or telemedicine were identified in all four countries. Pilot projects (mostly in diabetes, COPD, and/or heart failure) existed or were planned in most countries. Perceived value of RM was moderate to high, with the highest rating given for heart failure. Interviewees expressed concerns about sharing of medical information, and the need for capital investment. Patients recently discharged from hospital, and patients living remotely, or with serious and/or complicated diseases, were believed to be the most likely to benefit from RM. Formal reimbursement is scarce, but more commonly available for patients with heart failure. CONCLUSIONS In the four European countries surveyed, RM has attracted considerable interest for its potential to increase the efficiency of healthcare for chronic diseases. Although rare at this moment, incentives to use RM technology are likely to increase in the near future as the body of evidence of clinical and/or economic benefit grows.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Spatial–Temporal Monitoring of Ecotonal Belt Using Landscape Ecological Indices in the Central Elburz Region: Remote Sensing and GIS Analysis

Iran has mountainous landscapes and half of its surface is occupied by highlands. Moreover, Iran is an arid country and deserts are located at lower altitudes. Most metropolitan areas are positioned in mid-altitudes between mountain and desert. Cities grow upwardly toward the highlands under pressures of urbanization and desertification. Foothill ecotones are a zone between upland mountains and...

متن کامل

Spatial–Temporal Monitoring of Ecotonal Belt Using Landscape Ecological Indices in the Central Elburz Region: Remote Sensing and GIS Analysis

Iran has mountainous landscapes and half of its surface is occupied by highlands. Moreover, Iran is an arid country and deserts are located at lower altitudes. Most metropolitan areas are positioned in mid-altitudes between mountain and desert. Cities grow upwardly toward the highlands under pressures of urbanization and desertification. Foothill ecotones are a zone between upland mountains and...

متن کامل

Are Sexual and Reproductive Health Policies Designed for All? Vulnerable Groups in Policy Documents of Four European Countries and Their Involvement in Policy Development

Background Health policies are important instruments for improving population health. However, experience suggests that policies designed for the whole population do not always benefit the most vulnerable. Participation of vulnerable groups in the policy-making process provides an opportunity for them to influence decisions related to their health, and also to exercise their rights. This paper ...

متن کامل

A Comparative Review on National Alcohol Prevention Policies in Different Selected Countries

Alcohol, with its impact on both communicable and non-communicable diseases, is considered as the third global public health priority. Alcohol ranked third among causes of ill health and premature death, and ranked second in terms of cost among all the substances of abuse, after tobacco, even though nearly half the world’s population drinks alcohol. In most countries, where alcohol is considere...

متن کامل

To What Extent Is Long-term Care Representative of Elderly Care? A Case Study of Elderly Care Financing in Lombardy, Italy

The ageing of European population has been rapidly increasing during the last decades, and the problem of elderly care financing has become an issue for policy-makers. Long-term care (LTC) financing is considered a suitable proxy of the resources committed to elderly care by each government, but the preciseness of this approximation depends on the extent to which LTC is representative of elderl...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 11  شماره 

صفحات  -

تاریخ انتشار 2016