National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Access to Care (1)
- Adverse Events (2)
- Alcohol Use (2)
- Behavioral Health (3)
- Blood Pressure (1)
- Cancer (3)
- Cancer: Breast Cancer (1)
- Cardiovascular Conditions (2)
- Caregiving (2)
- Children/Adolescents (7)
- Chronic Conditions (2)
- Clinician-Patient Communication (1)
- Communication (2)
- Comparative Effectiveness (4)
- Critical Care (4)
- Depression (2)
- Diabetes (3)
- Diagnostic Safety and Quality (2)
- Digestive Disease and Health (1)
- Disparities (1)
- Education: Patient and Caregiver (2)
- Elderly (6)
- Emergency Department (4)
- Emergency Medical Services (EMS) (1)
- Evidence-Based Practice (1)
- Family Health and History (1)
- Healthcare-Associated Infections (HAIs) (2)
- Healthcare Costs (1)
- Healthcare Delivery (4)
- Healthcare Utilization (2)
- Health Information Technology (HIT) (21)
- Health Literacy (1)
- Health Promotion (1)
- Health Services Research (HSR) (3)
- Heart Disease and Health (4)
- Hospital Discharge (2)
- Hospitalization (2)
- Hospital Readmissions (4)
- Human Immunodeficiency Virus (HIV) (1)
- Injuries and Wounds (4)
- Intensive Care Unit (ICU) (2)
- Lifestyle Changes (3)
- Long-Term Care (1)
- Low-Income (1)
- Medication (1)
- Nursing Homes (2)
- Nutrition (1)
- Obesity (2)
- Pain (1)
- Patient-Centered Healthcare (3)
- Patient-Centered Outcomes Research (3)
- Patient Adherence/Compliance (1)
- Patient and Family Engagement (2)
- Patient Experience (2)
- Patient Safety (1)
- Patient Self-Management (10)
- Pregnancy (1)
- Prevention (4)
- Primary Care (2)
- Primary Care: Models of Care (1)
- Provider: Pharmacist (1)
- Quality Improvement (1)
- Quality of Care (2)
- Quality of Life (1)
- Racial and Ethnic Minorities (2)
- Respiratory Conditions (1)
- Rural Health (2)
- Social Determinants of Health (1)
- Social Stigma (1)
- Stroke (1)
- Substance Abuse (2)
- Surgery (4)
- (-) Telehealth (43)
- Transitions of Care (2)
- Urban Health (1)
- Vulnerable Populations (2)
- Web-Based (2)
- Women (1)
- Young Adults (2)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 25 of 43 Research Studies DisplayedGustafson DH, DuBenske LL, Atwood AK
Reducing symptom distress in patients with advanced cancer using an e-alert system for caregivers: Pooled analysis of two randomized clinical trials.
The aim of this paper was to assess the effects on cancer patient symptom distress of an eHealth system that alerts clinicians to significant changes in the patient's symptoms, as reported by a family caregiver. It found that when severe caregiver-reported symptoms were shared with clinicians, the symptoms were more likely to be subsequently reported as improved than when the symptoms were not shared with clinicians.
AHRQ-funded; HS019917.
Citation: Gustafson DH, DuBenske LL, Atwood AK .
Reducing symptom distress in patients with advanced cancer using an e-alert system for caregivers: Pooled analysis of two randomized clinical trials.
J Med Internet Res 2017 Nov 14;19(11):e354. doi: 10.2196/jmir.7466.
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Keywords: Cancer, Caregiving, Communication, Telehealth, Web-Based
Zachrison KS, Hayden EM, Schwamm LH
Characterizing New England emergency departments by telemedicine use.
The primary objective of this study was to describe the prevalence of telemedicine use in New England EDs and the clinical applications of use. It concluded that telemedicine is commonly used in New England EDs. In 2014, use was more common among rural EDs and EDs with limited neurology consultant availability. In contrast, telemedicine use was less common among very low-volume EDs.
AHRQ-funded; HS024561.
Citation: Zachrison KS, Hayden EM, Schwamm LH .
Characterizing New England emergency departments by telemedicine use.
West J Emerg Med 2017 Oct;18(6):1055-60. doi: 10.5811/westjem.2017.8.34880.
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Keywords: Emergency Department, Emergency Medical Services (EMS), Healthcare Delivery, Health Services Research (HSR), Telehealth
Ray KN, Ashcraft LE, Mehrotra A
Family perspectives on telemedicine for pediatric subspecialty care.
The researchers sought to understand how subspecialty telemedicine is perceived and to identify design elements with the potential to improve telemedicine uptake and impact. They found that although informants saw the potential value of using telemedicine to replace in-person subspecialty visits, they were more enthusiastic about using telemedicine to complement rather than replace in-person visits.
AHRQ-funded; HS022989.
Citation: Ray KN, Ashcraft LE, Mehrotra A .
Family perspectives on telemedicine for pediatric subspecialty care.
Telemed J E Health 2017 Oct;23(10):852-62. doi: 10.1089/tmj.2016.0236.
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Keywords: Children/Adolescents, Healthcare Delivery, Patient-Centered Healthcare, Children/Adolescents, Telehealth
Symer MM, Abelson JS, Milsom J
A mobile health application to track patients after gastrointestinal surgery: results from a pilot study.
Many surgical readmissions are preventable. Mobile health technology can identify nascent complications and potentially prevent readmission. The researchers performed a pilot study of a new mobile health application in adults undergoing major abdominal surgery and determined the app can track patient recovery from major abdominal surgery, is easy to use, and has potential to improve outcomes.
AHRQ-funded; HS000066.
Citation: Symer MM, Abelson JS, Milsom J .
A mobile health application to track patients after gastrointestinal surgery: results from a pilot study.
J Gastrointest Surg 2017 Sep;21(9):1500-05. doi: 10.1007/s11605-017-3482-2..
Keywords: Telehealth, Health Information Technology (HIT), Hospital Readmissions, Surgery, Adverse Events, Patient Safety, Digestive Disease and Health, Prevention
Rocque GB, Halilova KI, Varley AL
Feasibility of a telehealth educational program on self-management of pain and fatigue in adult cancer patients.
The primary objective was to assess the feasibility of a telehealth pain and fatigue self-management program among adult cancer patients. The program did not meet feasibility requirements because of only 34% of eligible patients choosing to participate. However, 50 percent of patients starting the program graduated. Differences in baseline characteristics and retention rates were noted by recruitment strategy.
AHRQ-funded; HS013852.
Citation: Rocque GB, Halilova KI, Varley AL .
Feasibility of a telehealth educational program on self-management of pain and fatigue in adult cancer patients.
J Pain Symptom Manage 2017 Jun;53(6):1071-78. doi: 10.1016/j.jpainsymman.2016.12.345.
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Keywords: Cancer, Pain, Education: Patient and Caregiver, Patient Self-Management, Telehealth
Kazemi DM, Borsari B, Levine MJ
A systematic review of the mhealth interventions to prevent alcohol and substance abuse.
This systematic review evaluated the recent body of research on mHealth-based interventions for substance use, with aims of (a) examining the functionality and effectiveness of these interventions, (b) evaluating the available research on the effectiveness of these interventions for substance use, and (c) evaluating the design, methodology, results, theoretical grounding, limitations, and implications of each study.
AHRQ-funded; HS023875.
Citation: Kazemi DM, Borsari B, Levine MJ .
A systematic review of the mhealth interventions to prevent alcohol and substance abuse.
J Health Commun 2017 May;22(5):413-32. doi: 10.1080/10810730.2017.1303556.
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Keywords: Alcohol Use, Prevention, Substance Abuse, Telehealth, Young Adults
Abujarad F, Alfano S, Bright TJ
AHRQ Author: Bright TJ
Building an informed consent tool starting with the patient: the patient-centered Virtual Multimedia Interactive Informed Consent (VIC).
This paper describes how the authors designed, developed, and evaluated an mHealth tool for advancing the informed consent process. Their tool enables the informed consent process to be performed on tablets (e.g., iPads) utilizing virtual coaching with text-to-speech automated translation as well as an interactive multimedia elements (e.g., graphics, video clips, animations, presentations, etc.). They present the Used-Centered Design approach they adopted to develop the tool and the results of the different methods used during the development of the tool.
AHRQ-authored; AHRQ-funded; HS023987.
Citation: Abujarad F, Alfano S, Bright TJ .
Building an informed consent tool starting with the patient: the patient-centered Virtual Multimedia Interactive Informed Consent (VIC).
AMIA Annu Symp Proc 2017 Apr 16;2017:374-83..
Keywords: Health Information Technology (HIT), Health Literacy, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Patient Experience, Telehealth
Schnall R, Cho H, Webel A
Predictors of willingness to use a smartphone for research in underserved persons living with HIV.
The purpose of this study was to assess factors associated with persons living with HIV (PLVH) for participation in research using smartphones. It concluded that future mHealth interventions targeting PLWH should take into account the inverse relationship between smartphone use and age, HIV stigma, and social isolation, and other predictor variables.
AHRQ-funded; HS023963.
Citation: Schnall R, Cho H, Webel A .
Predictors of willingness to use a smartphone for research in underserved persons living with HIV.
Int J Med Inform 2017 Mar;99:53-59. doi: 10.1016/j.ijmedinf.2017.01.002.
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Keywords: Human Immunodeficiency Virus (HIV), Patient Self-Management, Social Stigma, Telehealth, Vulnerable Populations
Kass AE, Balantekin KN, Fitzsimmons-Craft EE
The economic case for digital interventions for eating disorders among United States college students.
This article aimed to estimate the costs, in United States (US) dollars, of a stepped care model for online prevention and treatment among US college students to inform meaningful decisions regarding resource allocation and adoption of efficient care delivery models for EDs on college campuses. A stepped care model was estimated to achieve modest cost savings compared to standard care, but these estimates need to be tested with sensitivity analyses.
AHRQ-funded; HS000078.
Citation: Kass AE, Balantekin KN, Fitzsimmons-Craft EE .
The economic case for digital interventions for eating disorders among United States college students.
Int J Eat Disord 2017 Mar;50(3):250-58. doi: 10.1002/eat.22680.
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Keywords: Behavioral Health, Healthcare Delivery, Healthcare Costs, Prevention, Primary Care: Models of Care, Telehealth, Young Adults, Web-Based
Fernandes-Taylor S, Gunter RL, Bennett KM
Feasibility of implementing a patient-centered postoperative wound monitoring program using smartphone images: a pilot protocol.
The researchers propose a protocol of postoperative wound monitoring using smartphone digital images. Their study will help establish the feasibility of such a program, both for patients and for the clinical care team. The feasibility trial will confirm whether patients and their caregivers can learn to use a postdischarge wound monitoring smartphone app and will assess patient and provider satisfaction.
AHRQ-funded; HS023395.
Citation: Fernandes-Taylor S, Gunter RL, Bennett KM .
Feasibility of implementing a patient-centered postoperative wound monitoring program using smartphone images: a pilot protocol.
JMIR Res Protoc 2017 Feb 22;6(2):e26. doi: 10.2196/resprot.6819.
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Keywords: Telehealth, Health Information Technology (HIT), Surgery, Injuries and Wounds, Transitions of Care
Kane-Gill SL, Niznik JD, Kellum JA
Use of telemedicine to enhance pharmacist services in the nursing facility.
The researchers conducted a systematic literature review to determine what telemedicine services are provided by pharmacists and the impact of these services in the nursing facility setting. Since only three manuscripts met inclusion criteria, the researchers concluded that there is a general paucity of practice-related research to demonstrate potential benefits of pharmacists' services incorporating telemedicine.
AHRQ-funded; HS024208.
Citation: Kane-Gill SL, Niznik JD, Kellum JA .
Use of telemedicine to enhance pharmacist services in the nursing facility.
Consult Pharm 2017 Feb;32(2):93-98. doi: 10.4140/TCP.n.2017.93.
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Keywords: Telehealth, Nursing Homes, Medication, Elderly, Provider: Pharmacist
Batsis JA, Pletcher SN, Stahl JE
Telemedicine and primary care obesity management in rural areas - innovative approach for older adults?
The Centers for Medicare and Medicaid recognized the importance of treating obesity and instituted a benefit in primary care settings to encourage intensive behavioral therapy in beneficiaries by primary care clinicians. This benefit covers frequent, brief, clinic visits designed to address older adult obesity. This review outlines some of the challenges with the current benefit and proposed solutions in overcoming rural primary care barriers to implementation, including changes in staffing models.
AHRQ-funded; HS021681.
Citation: Batsis JA, Pletcher SN, Stahl JE .
Telemedicine and primary care obesity management in rural areas - innovative approach for older adults?
BMC Geriatr 2017 Jan 5;17(1):6. doi: 10.1186/s12877-016-0396-x.
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Keywords: Telehealth, Primary Care, Obesity, Rural Health, Elderly
Antonio MG, Courtney KL, Lingler JH
Translating behavior change techniques to new delivery mediums.
The translation of successful behavior change interventions to new delivery mechanisms requires an understanding of the underlying concepts that led to its success. A communication module within a multi-user telehealth kiosk is used as an example of how behavior change techniques from a "live" intervention may be represented in an information technology-delivered intervention.
AHRQ-funded; HS022889.
Citation: Antonio MG, Courtney KL, Lingler JH .
Translating behavior change techniques to new delivery mediums.
Stud Health Technol Inform 2017;234:18-23.
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Keywords: Healthcare Delivery, Caregiving, Telehealth, Health Information Technology (HIT)
Wellbeloved-Stone CA, Weppner JL, Valdez RS
A systematic review of telerehabilitation and mhealth interventions for spinal cord injury.
This systematic review evaluated the previous decade of telerehabilitation and mHealth interventions for spinal cord injury. The heterogeneity of the included studies coupled with a lack of standardized reporting guidelines precluded the development of specific recommendations for future intervention development. Rather, recommendations from this review focus on the need for a wide of range of future research in this domain, with a stronger focus on mobile Health.
AHRQ-funded; HS023849.
Citation: Wellbeloved-Stone CA, Weppner JL, Valdez RS .
A systematic review of telerehabilitation and mhealth interventions for spinal cord injury.
Current Physical Medicine and Rehabilitation Reports 2016 Dec;4(4):295-311. doi: 10.1007/s40141-016-0138-1.
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Keywords: Telehealth, Health Information Technology (HIT), Injuries and Wounds
Mayberry LS, Berg CA, Harper KJ
The design, usability, and feasibility of a family-focused diabetes self-care support mHealth intervention for diverse, low-income adults with type 2 diabetes.
Through user-centered design and iterative usability/feasibility testing, the researchers developed a mobile Health intervention for disadvantaged adults with type 2 diabetes (T2D) called FAMS. FAMS delivers phone coaching to set self-care goals and improve patient participant's (PP) ability to identify and address family actions that support/impede self-care. PPs reported FAMS increased self-care and both PPs and support persons reported FAMS improved support for and communication about diabetes.
AHRQ-funded; HS022990.
Citation: Mayberry LS, Berg CA, Harper KJ .
The design, usability, and feasibility of a family-focused diabetes self-care support mHealth intervention for diverse, low-income adults with type 2 diabetes.
J Diabetes Res 2016;2016:7586385. doi: 10.1155/2016/7586385.
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Keywords: Diabetes, Low-Income, Patient and Family Engagement, Patient Self-Management, Telehealth
Sarkar U, Gourley GI, Lyles CR
Usability of commercially available mobile applications for diverse patients.
The objective of this study was to investigate the usability of existing mobile health applications ("apps") for diabetes, depression, and caregiving, in order to facilitate development and tailoring of patient-facing apps for diverse populations. Participants completed 43 percent of tasks across 11 apps without assistance. Three themes emerged from participant comments: lack of confidence with technology, frustration with design features and navigation, and interest in having technology to support their self-management.
AHRQ-funded; HS022408.
Citation: Sarkar U, Gourley GI, Lyles CR .
Usability of commercially available mobile applications for diverse patients.
J Gen Intern Med 2016 Dec;31(12):1417-26. doi: 10.1007/s11606-016-3771-6.
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Keywords: Chronic Conditions, Health Information Technology (HIT), Patient Self-Management, Telehealth, Vulnerable Populations
Masterson Creber RM, Hickey KT, Maurer MS
Gerontechnologies for older patients with heart failure: what is the role of smartphones, tablets, and remote monitoring devices in improving symptom monitoring and self-care management?
The authors discussed the role of gerontechnologies, specifically the use of mobile applications available on smartphones and tablets as well as remote monitoring systems, for outpatient disease management among older adults with heart failure.
AHRQ-funded; HS021816.
Citation: Masterson Creber RM, Hickey KT, Maurer MS .
Gerontechnologies for older patients with heart failure: what is the role of smartphones, tablets, and remote monitoring devices in improving symptom monitoring and self-care management?
Curr Cardiovasc Risk Rep 2016 Oct;10(10). doi: 10.1007/s12170-016-0511-8.
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Keywords: Elderly, Telehealth, Health Information Technology (HIT), Heart Disease and Health, Cardiovascular Conditions, Patient Self-Management
Darlow S, Wen KY
Development testing of mobile health interventions for cancer patient self-management: a review.
The purpose of the current study was to conduct a review of published articles that describe the development process of mobile health interventions for patients’ cancer care self-management. The following trends emerged: importance of stakeholder engagement during the development process, addressing the unique needs and experiences of cancer patients and care providers, ensuring user satisfaction with the system, and identifying perceived benefits and limitations of the system.
AHRQ-funded; HS019001.
Citation: Darlow S, Wen KY .
Development testing of mobile health interventions for cancer patient self-management: a review.
Health Informatics J 2016 Sep;22(3):633-50. doi: 10.1177/1460458215577994..
Keywords: Patient Self-Management, Cancer, Chronic Conditions, Telehealth, Health Information Technology (HIT)
Ritchie CS, Houston TK, Richman JS
The E-Coach technology-assisted care transition system: a pragmatic randomized trial.
The researchers sought to evaluate the impact of a technology-supported care transition support program (E-Coach) on hospitalizations, days out of the community, and mortality. for patients with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD). They found that rehospitalization rates did not differ between E-Coach and usual care groups; however, E-Coach was associated with fewer days in the hospital with the COPD subgroup, suggesting that E-Coach may be more beneficial among those with COPD but not those with CHF.
AHRQ-funded; HS017786.
Citation: Ritchie CS, Houston TK, Richman JS .
The E-Coach technology-assisted care transition system: a pragmatic randomized trial.
Transl Behav Med 2016 Sep;6(3):428-37. doi: 10.1007/s13142-016-0422-8.
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Keywords: Respiratory Conditions, Heart Disease and Health, Hospitalization, Patient Self-Management, Telehealth
Oreskovic NM, Fletcher R, Sharifi M
Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families.
The researchers described the design and rationale for the Study for using Technology to Reach Individual Excellence (STRIVE), which incorporates patient-generated mobile health technology (mHealth) data on health behaviors and provides clinical recommendations to help manage cardiometabolic risk and disease (CMRD) among at-risk families. They concluded that the STRIVE trial will test the use of mHealth to improve health behaviors among families at-risk for or with established CMRD.
AHRQ-funded; HS022986; HS024001.
Citation: Oreskovic NM, Fletcher R, Sharifi M .
Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families.
Contemp Clin Trials 2016 Jul;49:149-54. doi: 10.1016/j.cct.2016.07.012.
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Keywords: Children/Adolescents, Family Health and History, Health Promotion, Lifestyle Changes, Telehealth
Wiseman JT, Fernandes-Taylor S, Gunter R
Inter-rater agreement and checklist validation for postoperative wound assessment using smartphone images in vascular surgery.
The authors evaluated whether smartphone digital images can supplant in-person evaluation of postoperative vascular surgery wounds. They concluded that using smartphone digital images is a valid method for evaluating postoperative vascular surgery wounds and is comparable to in-person evaluation with regard to most wound characteristics. The inter-rater reliability for determining treatment recommendations was universally high.
AHRQ-funded; HS023395.
Citation: Wiseman JT, Fernandes-Taylor S, Gunter R .
Inter-rater agreement and checklist validation for postoperative wound assessment using smartphone images in vascular surgery.
J Vasc Surg Venous Lymphat Disord 2016 Jul;4(3):320-28.e2. doi: 10.1016/j.jvsv.2016.02.001.
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Keywords: Healthcare-Associated Infections (HAIs), Injuries and Wounds, Telehealth, Surgery, Health Information Technology (HIT), Diagnostic Safety and Quality
Radovic A, Vona PL, Santostefano AM
Smartphone applications for mental health.
This study seeks to characterize apps readily available to smartphone users seeking mental health information and/or support. The most common purported purpose for the 208 apps studied was symptom relief (41 percent) and general mental health education (18 percent). The most frequently mentioned approaches to improving mental health were those that may benefit only milder symptoms such as relaxation (21 percent).
AHRQ-funded; HS022989.
Citation: Radovic A, Vona PL, Santostefano AM .
Smartphone applications for mental health.
Cyberpsychol Behav Soc Netw 2016 Jul;19(7):465-70. doi: 10.1089/cyber.2015.0619.
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Keywords: Behavioral Health, Telehealth, Education: Patient and Caregiver, Children/Adolescents, Health Information Technology (HIT)
McConnochie KM, Wood NE, Alarie C
Care offered by an information-rich pediatric acute illness connected care model.
The authors described care provided over a 12-year period by Health-e-Access, an evidence-based, information-rich, connected care model designed to serve children with acute illness. They demonstrated the broad clinical capacity of this care model and key components imparting this capacity. They concluded that Health-e-Access included technology essential for establishing diagnoses, ruling out more serious conditions, and identifying problems beyond its scope.
AHRQ-funded; HS018912; HS016871; HS015165.
Citation: McConnochie KM, Wood NE, Alarie C .
Care offered by an information-rich pediatric acute illness connected care model.
Telemed J E Health 2016 Jun;22(6):465-72. doi: 10.1089/tmj.2015.0161.
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Keywords: Critical Care, Children/Adolescents, Health Services Research (HSR), Children/Adolescents, Telehealth
Goldberg EM, Levy PD
New approaches to evaluating and monitoring blood pressure.
The authors reviewed the current literature on mobile health technologies and novel diagnostic and management protocols and made recommendations on how to incorporate these innovations into practice. They recommend collaboration between device designers and clinical researchers to develop rigorous clinical trials to test cardiovascular outcomes associated with emerging technologies.
AHRQ-funded; HS000011.
Citation: Goldberg EM, Levy PD .
New approaches to evaluating and monitoring blood pressure.
Curr Hypertens Rep 2016 Jun;18(6):49. doi: 10.1007/s11906-016-0650-9.
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Keywords: Blood Pressure, Telehealth, Health Information Technology (HIT), Diagnostic Safety and Quality
Driessen J, Bonhomme A, Chang W
Nursing home provider perceptions of telemedicine for reducing potentially avoidable hospitalizations.
The goal of this study was to survey a nationally representative sample of nursing home physicians and advanced practice providers to quantify provider perceptions and desired functionality of telemedicine in nursing homes to reduce potentially avoidable hospitalizations. The authors found that there is a high degree of confidence in the potential for a telemedicine solution and concrete views about its features, concluding that further research is needed to study the impact of successful implementations.
AHRQ-funded; HS018721; HS022989; HS022465; HS023779.
Citation: Driessen J, Bonhomme A, Chang W .
Nursing home provider perceptions of telemedicine for reducing potentially avoidable hospitalizations.
J Am Med Dir Assoc 2016 Jun;17(6):519-24. doi: 10.1016/j.jamda.2016.02.004.
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Keywords: Health Information Technology (HIT), Hospital Readmissions, Hospitalization, Nursing Homes, Telehealth