OBJECTIVE To examine the effect of an integrated, clinician-focused telehealth monitoring system on the probability of hospitalization within the first 30-day episode of home healthcare. STUDY DESIGN Retrospective, nonexperimental design. METHODS The study sample includes 2009 data from 5873 Medicare beneficiaries receiving home healthcare services through a network of community-based home ...

Tele-HomeCare (THC) delivers health care at home using telephone technologies. A THC service was developed as an adjunct to existing hospital and community care systems. It connected healthcare providers to children and families at home, during the initial transition from hospital to home, using video-conferencing phones and remote vital signs monitors. The goal was to support the transition fr...

In this paper, to deliver healthcare service pervasively, especially to the home space, we first discuss the status and activities on healthcare infrastructures and systems using mobile devices and sensor networks. We also provide the information and illustrate the reasons why home healthcare will be even more hot space in the near future. With the advance of wireless network, mobile devices be...

BACKGROUND Self-reported data are often used for estimates on healthcare utilization in cost-effectiveness studies. OBJECTIVE To analyze older adults' self-report of healthcare utilization compared to data obtained from the general practitioners' (GP) electronic medical record (EMR) and to study the differences in healthcare utilization between those who completed the study, those who did not...

BACKGROUND A low ratio of utilization of healthcare services in postpartum women may contribute to maternal deaths during the postpartum period. The maternal mortality ratio is high in the Philippines. The aim of this study was to examine the current utilization of healthcare services and the effects on the health of women in the Philippines who delivered at home. METHODS This was a cross-sec...

OBJECTIVES To examine the associations between major and minor depression and categories of Medicare home healthcare use. DESIGN Observational prospective study (1997-1999). SETTING Visiting nurse agency in suburban New York State. PARTCIPANTS: Five hundred thirty-nine new Medicare admissions aged 65 and older (mean age 78.4), 65.1% female, and 15.0% nonwhite. Approximately 13.5% were diagn...

This study estimated excess home healthcare use and expenditures among elderly Medicare beneficiaries (age ≥ 65 years) with Parkinson's disease (PD) compared to those without PD and analyzed the extent to which predisposing, enabling, need factors, personal health choice, and external environment contribute to the excess home healthcare use and expenditures among individuals with PD. A retrospe...