Healthc Inform Res.  2011 Jun;17(2):93-100. 10.4258/hir.2011.17.2.93.

Telecare System for Cardiac Surgery Patients: Implementation and Effectiveness

• Park DK
• Jung EY
• Park RW
• Lee YH
• Hwang HJ
• Son IA
• Hu MH

• KMID: 1447786
• DOI: http://doi.org/10.4258/hir.2011.17.2.93

Abstract

OBJECTIVES
To manage a patient's blood pressure and recovery, and to reduce unnecessary hospital visits after heart surgery, we developed and established a telecare service.
METHODS
We established and test-operated the system that enabled biometric data to be measured and monitored at home, and directed connections to the video consultation with monitoring personnel and medical staff when abnormal symptoms were detected.
RESULTS
As a result of using the telecare service with patients discharged from the hospital after undergoing heart surgery, the patients were mostly satisfied with the service and use of the equipment, and some patients wanted to actually receive the service continuously along with a device which could be more easily used.
CONCLUSIONS
Telecare services are greatly needed for patients discharged after heart surgery for a certain period of time. A model should be developed which provides devices necessary for each disease in package form and customizes the content and services in one package.

Keyword

Personal Health Services; Telemedicine; Heart Diseases; Self-Care; Remote Consultation

MeSH Terms

Blood Pressure
Heart Diseases
Humans
Medical Staff
Personal Health Services
Remote Consultation
Self Care
Telemedicine
Thoracic Surgery

Figure

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  Figure 1 Telecare service system.

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  Figure 2 Structure of data acquisition and mterface.

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  Figure 3 Web-based application model for physicians.

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  Figure 4 Online inquiry pages about blood pressure and pulse.

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  Figure 5 Online inquiry pages about electrocardiogram on page.

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  Figure 6 Electrocardiogram chart.

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  Figure 7 Connecting auscultation and consultation using webcam.

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  Figure 8 Picture of auscultation and consultation using a webcam.

Reference

1. Kang SW, Lee SH, Ko YS. The advent of u-health era. 2007. Seoul: Samsung Economic Research Institute.

2. Lee KH, Kim HJ. Fuzzy trust evaluation model for virtual telecare team. J Soc Korea Ind Syst Eng. 2009. 32:112–119.

3. Pare G, Jaana M, Sicotte C. Systematic review of home telemonitoring for chronic diseases: the evidence base. J Am Med Inform Assoc. 2007. 14:269–277.

4. Clark RA, Inglis SC, McAlister FA, Cleland JG, Stewart S. Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis. BMJ. 2007. 334:942.

5. Delgado-Passler P, McCaffrey R. The influences of postdischarge management by nurse practitioners on hospital readmission for heart failure. J Am Acad Nurse Pract. 2006. 18:154–160.

6. Brownsell S, Blackburn S, Hawley MS. Evaluating the impact of 2nd and 3rd generation telecare services in older people's housing. J Telemed Telecare. 2008. 14:8–12.

7. Chaudhry SI, Phillips CO, Stewart SS, Riegel B, Mattera JA, Jerant AF, Krumholz HM. Telemonitoring for patients with chronic heart failure: a systematic review. J Card Fail. 2007. 13:56–62.

8. Biddiss E, Brownsell S, Hawley MS. Predicting need for intervention in individuals with congestive heart failure using a home-based telecare system. J Telemed Telecare. 2009. 15:226–231.

9. Carl M, Tracy F, James C, Catherine E, Claire G, K Neil J, Sur K, Frances M, Janice O, Louise R, Anne R, Rob W. Integrating telecare for chronic disease management in the community: what needs to be done? 2010. Newcastle Upon Tyne, UK: Institute of Health and Society, Newcastle University.

10. Gil Telecare Service [Internet]. Gachon University Gill Medical Center. c1958-2008. cited at 2011 Jan 31. Incheon: Gachon University Gill Medical Center;Available from: http://gts.gilhospital.com/GTS.

11. Chaudhry SI, Mattera JA, Curtis JP, Spertus JA, Herrin J, Lin Z, Phillips CO, Hodshon BV, Cooper LS, Krumholz HM. Telemonitoring in patients with heart failure. N Engl J Med. 2010. 363:2301–2309.