Home monitoring of chronic disease could save up to $3 billion a year

00:48' 31-08-2016
Australia’s first large-scale trial of telehealth has shown that it could save up to $3 billion a year to the nation’s healthcare system.


    csiro-telehealthmachine

    Photo: getlifestyle.com.au

    The research, undertaken by CSIRO together with partners, involved trialling telehealth systems with 287 patients over a 12 month period.

    It showed savings of 24 per cent over the year to the healthcare system made through falls in the number and cost of GP visits, specialist visits and procedures carried out.

    Jack Fernihough, a participant in the trial, attributed the telehealth technology to saving his life when it picked up the early signs his heart was under increased stress, which allowed him to receive lifesaving surgery.

    "In April this year I had a triple bypass and without the monitor we wouldn't have known that there was anything seriously wrong," Mr Fernihough said.

    "It found out things about my heart that I wouldn't have known about until it was too late and I’d probably be gone by now."

    CSIRO lead researcher Dr Rajiv Jayasena said the 12-month trial enabled chronic disease patients to self-manage their conditions at home through the provision of telehealth services.

    "Aged patients with multiple chronic diseases, such as cardiovascular disease, diabetes or chronic lung disease account for more than 70 per cent of our health system expenditure," Dr Jayasena said.

    "In addition to a 24 per cent savings of Medical Benefits Scheme expenditure over one year, the trial also showed a substantial 36 per cent decrease in hospital admission and most importantly a 42 per cent reduction in length of stay if admitted to hospital during the 12 month trial.

    "This is a huge saving when you consider the cost of a hospital bed per day is estimated to be about $2051 in Australia."

    Patients also had a reduced mortality rate of more than 40 per cent.

    Test patients were provided with a telehealth device that included participant/clinician video conferencing capabilities, messaging features and the delivery of clinical and study specific questionnaires, as well as vital signs devices to monitor their ECG, heart rate, spirometry, blood pressure, oxygen saturation, body weight and body temperature, with glucometry an optional add-on.

    Patients on the trial have reported improvements in anxiety, depression and quality of life, with many finding that home monitoring gave them a better understanding of their chronic conditions.

    Health workers can assess changes in their patient’s conditions remotely and provide appropriate care interventions earlier to help them stay out of hospital.

    Djerriwarrh Health Services' Telehealth nurse, Lay Yean Woo, said was a very easy process to monitor her patient's health results daily.

    "I can see the information in real-time, I can monitor them, following up with a phone call if there's any issues with their health," Ms Yean Woo said.

    "Also with the time that has been freed up for me I can look at more new clients being referred to me."

    Over 500,000 Australians aged over 65 would be good candidates for at-home telemonitoring Dr Jayasena said.

    "Our research showed the return on investment of a telemonitoring initiative on a national scale would be in the order of five to one by reducing demand on hospital inpatient and outpatient services, reduced visits to GPs, reduced visits from community nurses and an overall reduced demand on increasingly scarce clinical resources," he said.

    Funded by the Australian Government Telehealth Pilots Program and CSIRO.



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Article sourced from csiro.au.


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