Journal of Telemedicine and Telecare > Volume 14, Number 3 > Pp. 122-124

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PAPERS

Early experience in using telemonitoring for the management of chronic disease in primary care

Joanna Fursse ^* , Malcolm Clarke ^*, Russell Jones , Sneh Khemka  and Genevieve Findlay 

^* Brunel University, London; Chorleywood Health Centre, Chorleywood; BUPA, London, UK

Correspondence: Joanna Fursse, School of Information Systems, Computing and Mathematics, Brunel University, St Johns Building, Kingston Lane, Uxbridge UB8 3PH, UK (Fax: +44 1895 251 686; Email: Joanna.Fursse{at}brunel.ac.uk)

We have investigated the use of telemonitoring in three long-term conditions: chronic heart failure (CHF), type 2 diabetes and essential hypertension. Participants were provided with a home telemonitoring unit for a 12-week period and entered physiological data each day. The data were sent automatically via the participant's telephone line to a server and could be viewed via a web browser. An intervention algorithm was developed to improve the accuracy with which patients requiring intervention were recognized compared to existing systems based on a simple threshold. Thirty patients completed the 12-week trial. One patient dropped out, giving data on 29 patients (mean age 70 years, 17 women). The algorithm prompted a clinical intervention in 11 patients (38%). The average time that elapsed before the first intervention was 47 days (SD 21). Primarily the interventions (72%) resulted in changes to medication and health advice. The results suggest that four weeks is sufficient time in which to recognize the need to intervene clinically and that in 12 weeks it is possible to effect a change towards a target.

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