A Review of Telemedicine and Asthma
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The literature contains a number of reports of early work involving telemedicine and chronic disease; however, there are comparatively few studies in asthma. Most of the telemedicine studies in asthma have investigated the use of remote monitoring of patients in the home, e.g. transmitting spirometry data via a telephone modem to a central server. The primary objective of these studies was to improve management. A secondary benefit was that patient adherence to prescribed treatment is also likely to be improved. Early results are encouraging; home monitoring in a randomized controlled trial in Japan significantly reduced the number of emergency room visits by patients with poorly controlled asthma. Other studies have described the cost-benefits of a specialist asthma nurse who can manage patients by telephone contact, as well as deliver asthma education. Many web-based systems are available for the general public or healthcare professionals to improve education in asthma, although their quality is highly variable.
The work on telemedicine in asthma clearly shows that the technique holds promise in a number of areas. Unfortunately — as in telemedicine generally — most of the literature in patients with asthma refers to pilot trials and feasibility studies, with short-term outcomes. Large-scale, formal research trials are required to establish the cost effectiveness of telemedicine in asthma.
KeywordsAsthma Healthcare Professional Peak Expiratory Flow Rate Chronic Disease Management Home Monitoring
The authors received no funding for this review and they have no conflicts of interest directly relevant to the content of this review.
- 7.Finkelstein J, O’Connor G, Friedmann RH. Development and implementation of the home asthma telemonitoring (HAT) system to facilitate asthma self-care. Medinfo 2001; 10 (Pt 1): 810–4Google Scholar
- 15.Finkelstein J, Hripcsak G, Cabrera M. Telematic system for monitoring of asthma severity in patients’ homes. Medinfo 1998; 9 Pt 1: 272–6Google Scholar
- 17.Gibson PG, Coughlan J, Wilson AJ, et al. Self-management education and regular practitioner review for adults with asthma (Cochrane Review). Available in The Cochrane Library [database on disk and CD ROM]. Updated quarterly. The Cochrane Collaboration; issue 1. Oxford: Update Sotware, 2003Google Scholar
- 18.Toelle BG, Ram FS. Written individualised management plans for asthma in children and adults. Available in The Cochrane Library [database on disk and CD ROM]. Updated quarterly. The Cochrane Collaboration; issue 3. Oxford: Update Software, 2002Google Scholar
- 29.Forshee JD, Whalen EB, Hackel R, et al. The effectiveness of a one-on-one nurse education on the outcomes of high-risk adult and pediatric patients with asthma. Manag Care Interface 1998; 11(12): 77–8Google Scholar