Telehealth and remote monitoring: Challenges and solutions for nurses in medical records management and lab interactions
Keywords:
Diabetes Mellitus Type 2, Telemedicine, Heart Failure, Pulmonary Disease, Chronic Obstructive, Delivery Of Health Care, ReviewAbstract
Background _ Telehealth is widely supported in the literature as a supplement or adjunct to in-person care for the management of chronic conditions, including type 2 diabetes mellitus (T2DM) and congestive heart failure (CHF). Empirical evidence is required to substantiate the use of telehealth as a comparable and fair substitute for in-person healthcare, as well as to evaluate any possible negative consequences. Aim of Work – We conducted a systematic review to investigate the impact of synchronous telehealth, which involves real-time communication via phone or phone and video, on the chronic management of CHF, chronic obstructive pulmonary disease, and T2DM in adults. We compared this approach with in-person care or phone-based care with synchronous video. Our aim was to evaluate the effect on disease-specific clinical outcomes and healthcare utilization. Methods – Two databases (MEDLINE and Embase) were explored in accordance with systematic review methodologies. We included randomized or quasi-experimental studies that assessed the impact of synchronously delivered telehealth on chronic illnesses. These studies had at least two encounters and replaced part or all in-person treatment with phone or video-based therapy.
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