- 期刊
居家醫療病患使用遠距醫療與遠端監控之系統性文獻回顧：慢性病管理與住院風險
Effects of telemedicine and remote monitoring on hospitalization among home health-care patients: a systematic review
摘要
隨著全球高齡化，居家醫療成為醫療照護系統另一種選擇，針對使用居家醫療的慢性病患者，搭配遠端監控進行慢性病健康管理，是否能有效降低醫療資源利用，目前尚無定論。因此，本研究以50歲以上且罹患慢性病的病患為對象，回顧實證研究，以了解居家醫療結合遠端監控介入對於降低慢性病患者住院頻率的效果。本研究使用PubMed、Scopus與Embase三個資料庫進行關鍵字搜尋，自1996年開始搜尋居家醫療下使用遠端監控之50歲以上的慢性病患者，經過排除重複文獻、篩選文獻後，納入符合條件之文獻。本研究共納入13篇文獻，共有4,528名患者，女性患者多於男性患者，遠端監控介入時長為12個月內。過去多數文獻為針對心臟衰竭之患者，多為使用居家醫療+遠端監控的治療方式，而對於住院的改善影響為部分支持。不同的遠端監控居家醫療介入模式，相較於單一居家醫療介入，可能具有更高的潛在成效，需要有政策以及技術的支持讓遠端監控可以帶給慢性病患者更高品質的照護。
並列摘要
With the aging of the global population, home health care (HHC) has become a feasible alternative within health-care systems, particularly for patients with chronic diseases. However, the effectiveness of implementing remote patient monitoring (RPM) in HHC for reducing health-care resource utilization among patients with chronic diseases remains unclear. This systematic review examined the effects of various RPM interventions on health-care resource utilization for HHC patients aged 50 years and older with chronic diseases. Keyword searches were conducted in PubMed, Scopus, and Embase for studies published from 1996 onwards on RPM interventions for HHC patients aged 50 years and above with chronic diseases. Following the removal of duplicate studies and a thorough literature screening process, eligible studies were included for analysis. A total 13 studies involving 4,528 patients, predominantly women, were analyzed. The durations of all RPM interventions were within 12 months. Most of the included studies focused on patients with heart failure and implemented HHC+RPM as a treatment. These interventions often incorporated multiple strategies to reduce hospitalizations and readmissions. RPM interventions significantly reduce readmission rates. Utilizing RPM models in combination with HHC interventions appears to be more effective than HHC alone in reducing hospitalizations and readmissions.