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慢性病远程照护综述
RESEARCH Original article
Q Current status and future perspectives in telecare
for elderly people suffering from chronic diseases
Taxiarchis Botsis* and Gunnar Hartvigsen*†
*Medical Informatics and Telemedicine Group, Department of Computer Science, University of Tromsø; †Norwegian Centre for
Telemedicine, Tromsø, Norway
Summary
We reviewed the literature on home telecare for elderly patients suffering from chronic diseases. Articles published between
1990 and 2007 were identified via the PubMed database. The literature search yielded 485 papers. After reviewing the title
and abstract from each, 54 were selected for closer examination. They were published in 37 different journals. The number
of papers increased from one in 1997 to 14 in 2006. The diseases in which home telecare had been used were diabetes (14
studies), heart failure (13 studies), cognitive impairment (dementia and/or Alzheimer’s disease, 10 studies), chronic
obstructive pulmonary disease (5 studies), chronic wounds (4 studies) and mobility disabilities (4 studies). Patients were
generally satisfied with home telecare, but they preferred a combination of home telecare with conventional health-care
delivery. Health-care professionals were positive about telecare. Users felt that on many occasions telecare led to a
reduction in costs due to time savings and avoidance of travelling. Even though there were important benefits from home
telecare, there are organizational, ethical, legal, design, usability and other matters that need to be resolved before
widespread implementation can occur.
Introduction an elderly patient’s independence and quality of life,
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