Disease Management and Health Outcomes

, Volume 6, Issue 3, pp 121–130 | Cite as

Does Telemedicine Have a Role to Play in Disease Management?

  • John Craig
  • Maria Loane
  • Richard Wootton
Leading Article


Telemedicine and disease management are relatively new concepts in healthcare delivery. Disease management focuses on the patient throughout the entire course of the disease, and aims to improve both the clinical outcomes for the patient and the overall cost effectiveness of the treatment regimen by adopting a ‘team approach’ to patient care.

Telemedicine enables effective communication, encourages efficient use of resources and ultimately enhances clinical outcomes by permitting access to new information, specialist expertise and knowledge within the continuum of healthcare delivery. The components of a disease management programme are discussed within a telemedicine context. Clearly telemedicine has an important role to play in any disease management programme as it facilitates effective communication throughout the process of healthcare delivery.


Chronic Obstructive Pulmonary Disease Adis International Limited Disease Management Disease Management Programme Clinical Decision Support 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    World Health Organization. A health telematics policy [document DGO/98.1]. Geneva: World Health Organization, 1997Google Scholar
  2. 2.
    Bernard DB, Townsend RR, Sylvestri MF. Health and disease management: what is it and where is it going? What is the role of health and disease management in hypertension? Am J Hypertens 1998; 11(8 Pt 2): 103S–8SPubMedCrossRefGoogle Scholar
  3. 3.
    Darkins A, Dearden CH, Rocke LG, et al. An evaluation of telemedical support for a minor treatment centre. J Telemed Telecare 1996; 2: 93–99PubMedCrossRefGoogle Scholar
  4. 4.
    Allen A. Telemedicine — a global perspective. In: Wootton R, editor. European telemedicine. London: Kensington Publications Limited, 1988/1999:13–15Google Scholar
  5. 5.
    Widman LE, Tong DA. Requests for medical advice from patients and families to health care providers who publish on the World Wide Web. Arch Intern Med 1997; 157(2): 209–12PubMedCrossRefGoogle Scholar
  6. 6.
    Impicciatore P, Pandolfini C, Casella N, et al. Reliability of health information for the public on the World Wide Web: systematic survey of advice on managing fever in children at home. BMJ 1997; 314(7098): 1875–9PubMedCrossRefGoogle Scholar
  7. 7.
    McLaren P, O’Kane M. Remote psychotherapy. J Telemed Telecare 1998; 4: 122PubMedCrossRefGoogle Scholar
  8. 8.
    Hobsley M, McCloy R, Jameson DG, et al. Lessons learned during the INSURRECT project. J Telemed Telecare 1997; 3 Suppl. 1: 38–40PubMedCrossRefGoogle Scholar
  9. 9.
    Jarrett C, Wainwright P, Lewis L. Education and training of practice nurses. J Telemed Telecare 1997; 3 Suppl. 1: 40–2PubMedCrossRefGoogle Scholar
  10. 10.
    EuroTransMed. Foundation for continuing medical education [online]. Available from: URL: [Accessed 1999 Aug 10]
  11. 11.
    Bittorf A, Krejci-Papa NC, Diepgen TL. Development of a dermatological image atlas with worldwide access for the continuing education of physicians. J Telemed Telecare 1995; 1: 45–53PubMedGoogle Scholar
  12. 12.
    Owens DR. Telemedicine in screening and monitoring of diabetic eye disease. J Telemed Telecare 1997; 1 Suppl. 3: 89–90CrossRefGoogle Scholar
  13. 13.
    Torok M, Turi Z, Kovacs F. Ten years clinical experience with telemedicine in prenatal care in Hungary. J Telemed Telecare 1999; 1 Suppl. 5: 14–7CrossRefGoogle Scholar
  14. 14.
    Mairinger T, Netzer TT, Schoner W, et al. Pathologists’ attitudes to implementing telepathology. J Telemed Telecare 1998; 4: 41–6PubMedCrossRefGoogle Scholar
  15. 15.
    Allen A, Grigsby B. Fifth annual programme survey: part 2. Consultation activity in 35 specialties. Telemed Today 1998; 6(5): 18–9PubMedGoogle Scholar
  16. 16.
    Armstrong IJ, Haston WS. Medical decision support for remote general practitioners using telemedicine. J Telemed Telecare 1997; 3: 27–34PubMedCrossRefGoogle Scholar
  17. 17.
    Department of Health press release [online]. Available from: URL: [Accessed 1999 Aug 10]
  18. 18.
    Wootton R, Loane M, Mair F, et al. The potential for telemedicine in home nursing. J Telemed Telecare 1998; 4: 214–8PubMedCrossRefGoogle Scholar
  19. 19.
    Mair F, Wilkinson M, Bonnar SA, et al. The role of telecare in the management of exacerbations of chronic obstructive pulmonary disease in the home. J Telemed Telecare 1999; 5 Suppl. 1: 66–7CrossRefGoogle Scholar
  20. 20.
    Shanit D, Cheng A, Greenbaum RA. Telecardiology: supporting the decision-making process in general practice. J Telemed Telecare 1996; 2: 7–13PubMedCrossRefGoogle Scholar
  21. 21.
    Johnson P, Andrews DC. Remote continuous physiological monitoring in the home. J Telemed Telecare 1996; 2: 107–13PubMedCrossRefGoogle Scholar
  22. 22.
    Denley I, Weston Smith S. Privacy in clinical information systems in secondary care. BMJ 1999; 318: 1328–31PubMedCrossRefGoogle Scholar
  23. 23.
    Tachakra S. How to do a telemedical consultation. In: Craig J, Wootton R, editors. An introduction to telemedicine. London: Royal Society Medicine Press, 1999Google Scholar
  24. 24.
    ACR Standards [online]. Available from: URL: [Accessed 1999 Aug 10]
  25. 25.
    Coulter A, Entwistle V, Gilbert D. Sharing decisions with patients: is the information good enough? BMJ 1999; 318: 318–22PubMedCrossRefGoogle Scholar
  26. 26.
    Liu Sheng OR, Hu PJ-H, Chau PYK, et al. A survey of physicians’ acceptance of telemedicine. J Telemed Telecare 1998; 4 Suppl. 1: 100–2CrossRefGoogle Scholar
  27. 27.
    Loane MA, Bloomer SE, Corbett R, et al. Patient satisfaction with realtime teledermatology in Northern Ireland. J Telemed Telecare 1998; 4:36–40PubMedCrossRefGoogle Scholar
  28. 28.
    Norman JN, Brebner JA, Brebner E, et al. International telemedicine. J Telemed Telecare 1997; 3: 111–2PubMedCrossRefGoogle Scholar
  29. 29.
    Western Governors’ Association telemedicine report 1994 and 1998 [online]. Available from: URL: [Accessed 1999 Aug 10]
  30. 30.
    Fairfield G, Hunter DJ, Mechanic D, et al. Managed care: origins, principles, and evolution. BMJ 1997; 314: 1823–6PubMedCrossRefGoogle Scholar
  31. 31.
    Wootton R. Telemedicine in the National Health Service. J R Soc Med 1998; 91: 614–21PubMedGoogle Scholar

Copyright information

© Adis International Limited 1999

Authors and Affiliations

  1. 1.Department of NeurologyRoyal Victoria HospitalBelfastUK
  2. 2.Institute of Telemedicine and TelecareRoyal Victoria HospitalBelfastUK

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