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标题：A randomized clinical trial for remote telemonitoring into an integrated care program for high complexity patients. Atlan-TIC project
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作者：Carlos Hernández-Quiles ; Rocio Garcia-Serrano ; Máximo Bernabeu-Wittel 等
期刊名称：International Journal of Integrated Care
电子版ISSN：1568-4156
出版年度：2016
卷号：16
期号：6
DOI：10.5334/ijic.2702
出版社：Utrecht University, Maastricht University, Groningen University
摘要：Introduction: The use of Information and Communication Technologies (ICT) is a promising development in the XXI century medicine. Its employment has already demonstrated significant benefits in areas such as dermatology or telematic control of hypertension and diabetes in young outpatients. Telemedicine applied in highly complex patients with advanced cardiac and respiratory disease, has shown an improvement in perceived satisfaction but its effectiveness, safety and cost-effectiveness has not been convincingly established. There are several factors that characterize the care needs of these patients: elderly, high demand for healthcare by the presence of frequent exacerbations, significant disability and need for primary caregivers. We believe that the implementation of ICT for telemonitoring high complex patients with advanced heart and/or respiratory disease require an integrated care model adapted and focused on their specific needs, with an established care circuits and responses. Currently Andalusian Public Health System (SSPA) is a prime setting to perform this rigorous evaluation. Material and methods : We have designed a multicenter clinical trial, randomized, parallel group, in adult patients with advanced heart and / or respiratory disease. Participating hospitals are Virgen del Rocio Hospital, Virgen Macarena Hospital and Serrania de Ronda Hospital, so it has been included urban and/as well as rural populations. Inclusion criteria are the presence of heart failure with basal dyspnea NYHA ≥III degree and / or chronic respiratory failure with dyspnea ≥III of the MRC and / or O2 saturation <90% and / or home oxygen therapy; presence heart failure or respiratory failure with dyspnea basal level
关键词：randomized clinical trial ; high complex patients ; telemonitoring