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Economic and Quality of Life Impact of Remote Technologies on High Risk Patients and Their Caregivers

机译:远程技术对高危患者及其护理人员的经济和生活质量影响

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The chronically ill have complex healthcare needs and require a disproportionate share of medical resources. We conducted a pilot study (CLIN001) to determine whether home-based preventative care improves healthcare outcomes with a randomized trial intervention in high-risk dialysis patients utilizing either a home health aide (HHA) or clinical measurements made by the patient at home using remote technology (RT). Over the first nine months, hospitalizations, emergency room visits, and associated charges were significantly lower in the RT group. CLIN002 eliminates the HHA group and seeks to further explore the stability of these patients over time in a larger sample of patients. The results from the 44 patients participating in CLIN002 showed significant differences in health outcomes including the number of days of hospitalization, prorated healthcare charges, and continued self reliance of the RT participants. RT can play an important role in improving health outcomes of patients with complex healthcare needs and may be economically sustainable.

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