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Hi! My name is Kenzhekhan Zhanmukhamed 👋

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Hi! My name is Kenzhekhan Zhanmukhamed 👋

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Telemedicine (TM) is the use of telecommunication systems to deliver health care at a distance. It has the potential to improve patient health outcomes, access to health care and reduce healthcare costs. As TM applications continue to evolve it is important to understand the impact TM might have on patients, healthcare professionals and the organisation of care.

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To assess the effectiveness, acceptability and costs of interactive TM as an alternative to, or in addition to, usual care (i.e. face‐to‐face care, or telephone consultation).

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Telemedicine provided remote monitoring (55 studies), or real‐time video‐conferencing (38 studies), which was used either alone or in combination. The main TM function varied depending on clinical condition, but fell typically into one of the following six categories, with some overlap: i) monitoring of a chronic condition to detect early signs of deterioration and prompt treatment and advice, (41); ii) provision of treatment or rehabilitation (12), for example the delivery of cognitive behavioural therapy, or incontinence training; iii) education and advice for self‐management (23), for example nurses delivering education to patients with diabetes or providing support to parents of very low birth weight infants or to patients with home parenteral nutrition; iv) specialist consultations for diagnosis and treatment decisions (8), v) real‐time assessment of clinical status, for example post‐operative assessment after minor operation or follow‐up after solid organ transplantation (8) vi), screening, for angina (1).

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Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD) 🤒 

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Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD) 🤒 

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Chronic obstructive pulmonary disease (COPD, including bronchitis and emphysema) is a chronic condition causing shortness of breath, cough, and exacerbations leading to poor health outcomes. Face‐to‐face visits with health professionals can be hindered by severity of COPD or frailty, and by people living at a distance from their healthcare provider and having limited access to services. Telehealth technologies aimed at providing health care remotely through monitoring and consultations could help to improve health outcomes of people with COPD.

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Remote monitoring plus usual care provided asynchronously may not be beneficial overall compared to usual care alone. Some benefit is seen in reduction of COPD‐related hospital re‐admissions, but moderate‐certainty evidence is based on one study. We have not found any evidence for dyspnoea symptoms nor harms, and there is no difference in fatalities when remote monitoring is provided in addition to usual care.

Remote monitoring interventions alone are no better than usual care overall for health outcomes.

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💊 Students of Kaznmu named after Asfendiyarov, Faculty of General Medicine, 1st year, 041k group 💊

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💊 Students of Kaznmu named after Asfendiyarov, Faculty of General Medicine, 1st year, 041k group 💊

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students:

Zharqyn Zhanzhalgas

Erbolqyzy Nurkamal

Orazymbekova Ayanat

Qozhahmet Akerke

Musahanova Aqzhibek

Kenzhekhan Zhanmukhamed

Aitzhan Zhadyra

Kuatbek Nariman

Belturgan Nurkymbat

Assubayeva Aysana