TELEHEALTH SLP services (Hill & Theodoros, 2002; McCue, Fairman, & Pramuka, 2010). This research has explored the use of a variety of technology such as videoconferencing, telephone, videophone, email, and Skype (Mashima & Doarn, 2008; McCue et al., 2010). While the research is dominated by feasibility projects and case studies, a number of highquality randomised control trials and robust pilot...

BACKGROUND Our hypothesis was that telehealth in combination with an optimised care program coordinated amongst care professionals in primary, secondary and tertiary care can achieve beneficial outcomes in heart failure. The objective was to evaluate the clinical effects of introduction of telehealth in an optimised care program in a community hospital in the north of the Netherlands. METHODS...

BACKGROUND We have shown that a fourth-generation telehealth program that analyzes and responds synchronously to data transferred from patients is associated with fewer hospitalizations and lower medical costs. Whether a fourth-generation telehealth program can reduce all-cause mortality has not yet been reported for patients with chronic cardiovascular disease. OBJECTIVE We conducted a clini...

OBJECTIVE This study compared direct costs of conducting structured clinical interviews via real-time interactive videoconferencing (known as telehealth) versus standard in-person methods with American Indians in rural locations. METHODS Psychiatrists administered in person and via telehealth on two occasions the Structured Clinical Interview for DSM-III-R to 53 non-VA male, American-Indian v...

BACKGROUND Telehealth technology allows for the provision of nursing care even when the patient and nurse are physically separated from each other. Telehealth has shown positive effects on healthcare costs and healthcare access. Although it can increase healthcare access and decrease healthcare costs, the use of telehealth has altered the typical pattern of nurse-patient proximity. It is unknow...

PURPOSE  Telehealth care is emerging as a viable intervention model to treat complex chronic conditions, such as heart failure (HF) and chronic obstructive pulmonary disease (COPD), and to engage older adults in self-care disease management.  DESIGN AND METHODS  We report on a randomized controlled trial examining the impact of a multifaceted telehealth intervention on health, mental health, ...

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 ...

Nurses have an immense impact on the growth and scope of Telehealth as they embrace diverse roles. TeleNursing introduces transformational change which positively impacts both clients and providers, increasing access to care and reducing the time and costs associated with traveling for health care. Integration of clinical support and remote diagnostic tools inspire new uses of Telehealth, thus ...

OBJECTIVE To examine the costs and cost effectiveness of telehealth in addition to standard support and treatment, compared with standard support and treatment. DESIGN Economic evaluation nested in a pragmatic, cluster randomised controlled trial. SETTING Community based telehealth intervention in three local authority areas in England. PARTICIPANTS 3230 people with a long term condition ...

BACKGROUND Adoption of telehealth has been slower than anticipated, and little is known about the service improvements that help to embed telehealth into routine practice or the role of frontline staff in improving adoption. This paper reports on participatory action research carried out in four community health settings using telehealth for patients with Chronic Obstructive Pulmonary Disease a...