Perspectives from the Kidney Health Initiative on Advancing Technologies to Facilitate Remote Monitoring of Patient Self-Care in RRT

Clinical journal of the American Society of Nephrology: CJASN

Mitchell H. Rosner³ 

[1] and..¶¶Baxter International, Inc., Deerfield, Illinois..;**University of Virginia, Charlottesville, Virginia;*University of Virginia, Charlottesville, Virginia;§University of Iowa Children’s Hospital, Iowa City, Iowa;§§University of Alabama at Birmingham, Birmingham, Alabama;¶Gilead Sciences, Incorporated, Foster City, California;‖Qualcomm, Inc., San Diego, California;‖‖University of Iowa Carver College, Iowa City, Iowa;†George Washington University, Washington, DC;††Geisel School of Medicine at Dartmouth and US Department of Veterans Affairs, Hanover, New Hampshire;‡American Association of Kidney Patients, St. Petersburg, Florida;‡‡George Washington University, Washington, DC

关键词: Dialysis;    monitoring;    Caregivers;    Cost-Benefit Analysis;    diabetes mellitus;    Government;    Health Status;    heart failure;    Hemodialysis, Home;    Humans;    hypertension;    Patient Satisfaction;    Pulmonary Disease, Chronic Obstructive;    renal dialysis;    Self Care;    Telemedicine;   

DOI  :  10.2215/CJN.12781216

学科分类：泌尿医学

来源: American Society of Nephrology

【 摘 要 】

Telehealth and remote monitoring of a patient’s health status has become more commonplace in the last decade and has been applied to conditions such as heart failure, diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. Conversely, uptake of these technologies to help engender and support home RRTs has lagged. Although studies have looked at the role of telehealth in RRT, they are small and single-centered, and both outcome and cost-effectiveness data are needed to inform future decision making. Furthermore, alignment of payer and government (federal and state) regulations with telehealth procedures is needed along with a better understanding of the viewpoints of the various stakeholders in this process (patients, caregivers, clinicians, payers, dialysis organizations, and government regulators). Despite these barriers, telehealth has great potential to increase the acceptance of home dialysis, and improve outcomes and patient satisfaction while potentially decreasing costs. The Kidney Health Initiative convened a multidisciplinary workgroup to examine the current state of telehealth use in home RRTs as well as outline potential benefits and drawbacks, impediments to implementation, and key unanswered questions.

【 授权许可】

CC BY