At SecondLook, we are always reading.  This page contains summaries and links to recent journal articles that explore the clinical effectiveness, cost effectiveness and patient/provider satisfaction of telemedicine programs.  Even if you don't think of yourself as doing academic medicine, these resources will be helpful if are writing a business plan, trying to decide when and how to grow your program, or applying for a grant.

Home Monitoring for CHF Provides Significant Cost Savings

posted Apr 12, 2012, 5:35 PM by Domain Admin

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This nurse-supported home monitoring and measurement program for chronic heart failure patients reported not only significant cost savings, but better quality of life, reduced number of hospital stays and reduced mortality for its participants.

More evidence for correct diagnoses through telestroke evaluation

posted Apr 12, 2012, 5:33 PM by Domain Admin

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This study, which is a pooled analysis of data from two other studies, provides strong evidence that the use of two-way videoconferencing for stroke evaluation provides more accurate diagnoses that telephone-only consultation. 

Telestroke evaluation is cost-effective across patients' lifetimes

posted Apr 12, 2012, 5:30 PM by Domain Admin

Nelson RE, Saltzman GM, Skalabrin EJ, Demaerschalk BM, Majersik JJ. The cost-effectiveness of telestroke in the treatment of acute ischemic stroke. Neurology. 2011;77

This interesting and comprehensive study examines the effect of telestroke evaluation on cost of care, length of life, and quality of life.

Video-based stroke consultations more accurate than phone

posted Apr 12, 2012, 5:24 PM by Domain Admin

Meyer BC, Raman R, Hemmen T, Obler R, Zivin JA, Rao R, Thomas RG, Lyden PD. Efficacy of site-independent telemedicine in the STRokE DOC trial: A randomised, blinded, prospective study. The Lancet Neurology. 2008;7:787-795

Telestroke programs reduce time to treatment

posted Apr 12, 2012, 5:22 PM by Domain Admin

LaMonte MP, Bahouth MN, Xiao Y, Hu P, Baquet CR, Mackenzie CF. Outcomes from a comprehensive stroketelemedicine program. Telemedicine and e-Health. 2008;14:339-344

Telemental Health: No difference in patient satisfaction over face-to-face treatment

posted Apr 12, 2012, 5:17 PM by Domain Admin

Morgan RD, Patrick AR, Magaletta PR. Does the use of telemental health alter the treatment experience? Inmates' perceptions of telemental health versus face-to-face treatment modalities. Journal of Consulting and Clinical Psychology. 2008;76:158-162

This study examined patient perceptions of the experience of mental health treatment delivery in a correctional facility.  Participants either received conventional face-to-face treatment, or treatment via two-way videoconference.  Surveys indicate no significant difference in patient satisfaction between the two modalities.

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