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Telemedicine Consultations for Patients in Long Term Care: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Published on: October 7, 2015
Project Number: RC0713-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of the use of telemedicine to facilitate the delivery of health care interventions and consultations for patients in long term care facilities?
  2. What is the cost-effectiveness of the use of telemedicine to facilitate the delivery of health care interventions and consultations for patients in long term care facilities?
  3. What are the evidence-based guidelines regarding the use of telemedicine to facilitate the delivery of health care interventions and consultations for patients in long term care facilities?

Key Message

There is some evidence that telehealth administered through videoconferencing is reliable and effective to achieve glycemic control and to provide needed health care services to elderly residents of long-term facilities in the area of general medicine, geriatrics, psychiatry and neurology. Furthermore, implementation of telehealth in long-term care facilities resulted in a significant reduction in travel time for both residents and clinicians, and was effective in increasing the number of patients reviewed, while reducing the frequency of residents' visits to hospitals and clinics. In addition, telehealth consultations with pharmacists led to reductions in medication duplication and improved medication safety in long-term care facilities. The acceptance of, and satisfaction with, using videoconferencing to provide healthcare services to the elderly in long-term care facilities was high among physicians, and nursing home residents and staff.

Tags

long-term care