Perspectives from the Kidney Health Initiative on Advancing Technologies to Facilitate Remote Monitoring of Patient Self-Care in RRT

Telehealth and remote monitoring of a patient's health status has become more commonplace in the last decade and has been applied to conditions such as heart failure, diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. Conversely, uptake of these technologies to help eng...

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Bibliographic Details
Published in:Clinical journal of the American Society of Nephrology 2017-11, Vol.12 (11), p.1900-1909
Main Authors: Rosner, Mitchell H, Lew, Susie Q, Conway, Paul, Ehrlich, Jennifer, Jarrin, Robert, Patel, Uptal D, Rheuban, Karen, Robey, R Brooks, Sikka, Neal, Wallace, Eric, Brophy, Patrick, Sloand, James
Format: Article
Language:English
Subjects:
Cost Savings
Hemodialysis, Home
Humans
Insurance, Health, Reimbursement
Kidney Failure, Chronic - economics
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - therapy
Monitoring, Physiologic - instrumentation
Monitoring, Physiologic - methods
Patient Acceptance of Health Care
Peritoneal Dialysis
Review
Self Care
Telemedicine - legislation & jurisprudence
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Summary:Telehealth and remote monitoring of a patient's health status has become more commonplace in the last decade and has been applied to conditions such as heart failure, diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. Conversely, uptake of these technologies to help engender and support home RRTs has lagged. Although studies have looked at the role of telehealth in RRT, they are small and single-centered, and both outcome and cost-effectiveness data are needed to inform future decision making. Furthermore, alignment of payer and government (federal and state) regulations with telehealth procedures is needed along with a better understanding of the viewpoints of the various stakeholders in this process (patients, caregivers, clinicians, payers, dialysis organizations, and government regulators). Despite these barriers, telehealth has great potential to increase the acceptance of home dialysis, and improve outcomes and patient satisfaction while potentially decreasing costs. The Kidney Health Initiative convened a multidisciplinary workgroup to examine the current state of telehealth use in home RRTs as well as outline potential benefits and drawbacks, impediments to implementation, and key unanswered questions.
ISSN:1555-9041
1555-905X
1555-905X
DOI:10.2215/CJN.12781216