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Title: | Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017 | Authors: | Donner, Claudio F. Raskin, Jonathan ZuWallack, Richard Nici, Linda Ambrosino, Nicolino Balbi, Bruno Blackstock, Felicity Casaburi, Richard Dreher, Michael Effing, Tanja Goldstein, Roger Krishnan, Jerry Lareau, Suzanne C. Make, Barry J. Maltais, Francois Meek, Paula Morgan, Michael Pepin, Jean-Louis Rabbito, Chiara Rochester, Carolyn L. Silverman, Adam R. Singh, Sally SPRUIT, Martijn A. Vitacca, Michele Williamsa, Loreen |
Issue Date: | 2018 | Publisher: | W B SAUNDERS CO LTD | Source: | RESPIRATORY MEDICINE, 143, p. 91-102 | Abstract: | This report is a summary of a workshop focusing on using telemedicine to facilitate the integrated care of chronic obstructive pulmonary disease (COPD). Twenty-five invited participants from 8 countries met for one and one-half days in Stresa, Italy on 7-8 September 2017, to discuss this topic. Participants included physiotherapists, nurses, a nurse practitioner, and physicians. While evidence-based data are always at the center of sound inference and recommendations, at this point in time the science behind telemedicine in COPD remains underdeveloped; therefore, this document reflects expert opinion and consensus. While telemedicine has great potential to expand and improve the care of our COPD patients, its application is still in its infancy. While studies have demonstrated its effectiveness in some patient-centered outcomes, the results are by no means consistently positive. Whereas this tool may potentially reduce health care costs by moving some medical interventions from centralized locations in to patient's home, its cost-effectiveness has had mixed results and telemonitoring has yet to prove its worth in the COPD population. These discordant results should not be unexpected in view of patient complexity and the heterogeneity of telemedicine. This is reflected in the very limited support offered by the National Health Services to a wider application of telemedicine in the integrated care of COPD patients. However, this situation should challenge us to develop the necessary science to clarify the role of telemedicine in the medical management of our patients, providing a better and definitive scientific basis to this approach. | Notes: | [Donner, Claudio F.] Fdn Mondo Respiro ONLUS, Via Monsignor Cavigioli 10, I-28021 Borgomanero, NO, Italy. [Raskin, Jonathan] 1000 Pk Ave, New York, NY 10028 USA. [ZuWallack, Richard] Univ CT, Pulm & Crit Care, St Francis Hosp & Med Ctr, Hartford, CT 06015 USA. [Nici, Linda] Brown Univ, Providence, RI 02912 USA. [Ambrosino, Nicolino] Ist Montescano, Ist Clin Sci Maugeri, Montescano, Italy. [Balbi, Bruno] IRCCS Inst Veruno Novara, ICS Maugeri, Novara, Italy. [Blackstock, Felicity] Western Sydney Univ, Sch Sci & Hlth, Sydney, NSW, Australia. [Casaburi, Richard] Harbor UCLA Med Ctr, Los Angeles Biomed Res Inst, Rehabil Clin Trial Ctr, UCLA Sch Med, Torrance, CA 90502 USA. [Dreher, Michael] Univ Hosp RWTH Aachen, Div Pneumol, Aachen, Germany. [Effing, Tanja] Flinders Univ S Australia, Coll Med & Publ Hlth, Adelaide, SA, Australia. [Effing, Tanja] Southern Adelaide Local Hlth Network, Dept Resp Med, Adelaide, SA, Australia. [Goldstein, Roger] Univ Toronto, NSA Chair Resp Rehabil Res, Toronto, ON, Canada. [Krishnan, Jerry] Univ Illinois, Chicago, IL 60680 USA. [Lareau, Suzanne C.] Univ Colorado Denver, Coll Nursing, Anschutz Med Campus,C288-04,ED 2 North,Rm 4327, Aurora, CO 80045 USA. [Make, Barry J.] Univ Colorado, Dept Med, Boulder, CO 80309 USA. [Maltais, Francois] Univ Laval, Inst Univ Cardiol & Pneumol Quebec, Quebec City, PQ, Canada. [Meek, Paula] Univ Colorado, Coll Nursing, Anschutz Med Campus, Boulder, CO 80309 USA. [Morgan, Michael] Univ Leicester, Chair NHS England Resp Clin Reference Grp, Natl Clin Director Resp NHS, Leicester, Leics, England. [Pepin, Jean-Louis] Grenoble Univ Hosp, Div Res, Clin Res Adm, Sleep & Exercise Dept, Grenoble, France. [Rabbito, Chiara] Rabbito Law Firm, Via Piave 44, I-40068 San Lazzaro, BO, Italy. [Rochester, Carolyn L.] Yale Univ, Sch Med, Pulm Rehabil Program, VA Connecticut Healthcare Syst, New Haven, CT 06520 USA. [Silverman, Adam R.] Quinnipiac Univ, Sch Med, 95 Woodland St,4th Floor, Hartford, CT 06105 USA. [Singh, Sally] Univ Hosp Leicester, Leicester, Leics, England. [Spruit, Martijn A.] Ciro, Dept Res & Educ, Horn, Netherlands. [Spruit, Martijn A.] Maastricht Univ, Med Ctr MUMC, NUTRIM Sch Nutr & Translat Res Metab, Dept Resp Med, Maastricht, Netherlands. [Spruit, Martijn A.] Hasselt Univ, BIOMED Biomed Res Inst, REVAL Rehabil Res Ctr, Diepenbeek, Belgium. [Vitacca, Michele] Resp Dept ICS S Maugeri IRCCS Lumezzane Bs Italy, Resp Dept, Via Mazzini 129, I-25066 Lumezzane, Bs, Italy. [Williamsa, Loreen] St Francis Hosp & Med Ctr, Management Program, Pulm & Crit Care, Hartford, CT 06105 USA. | Keywords: | Telemedicine; Telehealth; Telerehabilitation; Integrated care; COPD;Telemedicine; Telehealth; Telerehabilitation; Integrated care; COPD | Document URI: | http://hdl.handle.net/1942/27555 | ISSN: | 0954-6111 | e-ISSN: | 1532-3064 | DOI: | 10.1016/j.rmed.2018.09.003 | ISI #: | 000445399500014 | Rights: | Crown Copyright © 2018 Published by Elsevier Ltd. All rights reserved. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
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