Home-based telehealth: a review and meta-analysis

被引:142
作者
DelliFraine, Jami L. [1 ]
Dansky, Kathryn H. [1 ]
机构
[1] Penn State Univ, Dept Hlth Policy & Adm, University Pk, PA 16802 USA
关键词
D O I
10.1258/jtt.2007.070709
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We conducted a systematic review to identify studies on the effect of home telehealth on clinical care outcomes. The search was restricted to peer-reviewed publications (published between 2001 and 2007) about studies conducted in home or residential settings. The search yielded 154 potential articles and dissertations. A total of 29 articles met the inclusion criteria and were included in a meta-analysis. The weighted mean effect size for the overall meta-analysis was 0.50, and the z-statistic was 3.0, indicating that telehealth had a moderate, positive and significant effect (P < 0.01) on clinical outcomes. Subanalyses also indicated positive significant effects of telehealth for some disease categories (heart disease and psychiatric conditions), but not others (diabetes), patient populations and telehealth interventions. Overall, the meta-analysis indicated that telehealth positively affects clinical outcomes of care, even in different patient populations.
引用
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页码:62 / 66
页数:5
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