Electronic communication with patients evaluation of distance medicine technology

E Andrew Balas, Farah Jaffrey, Gilad J. Kuperman, Suzanne Austin Boren, Gordon D. Brown, Francesco Pinciroli, Joyce A. Mitchell

Research output: Contribution to journalArticle

200 Citations (Scopus)

Abstract

Objective.-To evaluate controlled evidence on the efficacy of distance medicine technologies in clinical practice and health care outcome. Data Sources.-Systematic electronic database and manual searches (19661996) were conducted to identify clinical trial reports on distance medicine applications. Study Selection.-Three eligibility criteria were applied: prospective, contemporaneously controlled clinical trial with random assignment of the intervention; electronic distance technology application in the intervention group and no similar intervention in the control group; and measurement of the intervention effect on process or outcome of care. Data Extraction.-Data were abstracted by independent reviewers using a standardized abstraction form and the quality of methodology was scored. Distance technology applications were described in 6 categories: computerized communication, telephone follow-up and counseling, telephone reminders, interactive telephone systems, after-hours telephone access, and telephone screening. Data Synthesis.-Of 80 eligible clinical trials, 61 (76%) analyzed provider-initiated communication with patients and 50 (63%) reported positive outcome, improved performance, or significant benefits, including studies of computerized communication (7 of 7), telephone follow-up and counseling (20 of 37), telephone reminders (14 of 23), interactive telephone systems (5 of 6), telephone access (3 of 4), and telephone screening (1 of 3). Significantly improved outcomes were demonstrated in studies of preventive care, management of osteoarthritis, cardiac rehabilitation, and diabetes care. Conclusions.-Distance medicine technology enables greater continuity of care by improving access and supporting the coordination of activities by a clinician. The benefits of distance technologies in facilitating communication between clinicians and patients indicate that application of telemedicine should not be limited to physician-to-physician communication.

Original languageEnglish (US)
Pages (from-to)152-159
Number of pages8
JournalJournal of the American Medical Association
Volume278
Issue number2
StatePublished - Jul 9 1997

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Telephone
Communication
Medicine
Technology
Counseling
Clinical Trials
Physicians
Preventive Medicine
Continuity of Patient Care
Telemedicine
Information Storage and Retrieval
Controlled Clinical Trials
Osteoarthritis
Databases
Delivery of Health Care
Control Groups

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Balas, E. A., Jaffrey, F., Kuperman, G. J., Boren, S. A., Brown, G. D., Pinciroli, F., & Mitchell, J. A. (1997). Electronic communication with patients evaluation of distance medicine technology. Journal of the American Medical Association, 278(2), 152-159.

Electronic communication with patients evaluation of distance medicine technology. / Balas, E Andrew; Jaffrey, Farah; Kuperman, Gilad J.; Boren, Suzanne Austin; Brown, Gordon D.; Pinciroli, Francesco; Mitchell, Joyce A.

In: Journal of the American Medical Association, Vol. 278, No. 2, 09.07.1997, p. 152-159.

Research output: Contribution to journalArticle

Balas, EA, Jaffrey, F, Kuperman, GJ, Boren, SA, Brown, GD, Pinciroli, F & Mitchell, JA 1997, 'Electronic communication with patients evaluation of distance medicine technology', Journal of the American Medical Association, vol. 278, no. 2, pp. 152-159.
Balas EA, Jaffrey F, Kuperman GJ, Boren SA, Brown GD, Pinciroli F et al. Electronic communication with patients evaluation of distance medicine technology. Journal of the American Medical Association. 1997 Jul 9;278(2):152-159.
Balas, E Andrew ; Jaffrey, Farah ; Kuperman, Gilad J. ; Boren, Suzanne Austin ; Brown, Gordon D. ; Pinciroli, Francesco ; Mitchell, Joyce A. / Electronic communication with patients evaluation of distance medicine technology. In: Journal of the American Medical Association. 1997 ; Vol. 278, No. 2. pp. 152-159.
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