Home Telecare: Patient Satisfaction, Care Outcomes and Cost Effectiveness

Author: Al B. Glasgow, MBA

Primary Advisor: James P. Turley, PhD, RN

Committee Members: Kim Dunn, MD, PhD; Kathy A. Johnson, PhD

Masters thesis, The University of Texas School of Health Information Sciences at Houston.

This article summarizes the literature on effectiveness of live interactive telemedicine in home health care. Effectiveness is evaluated in terms of satisfaction (patients and health care providers), clinical outcomes, and cost effectiveness. Literature sources were screened for references to live interactive videoconferencing in patient home settings. The sources were Medline, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), RICHS (Rural Information Center Health Service) and the Telemedicine Information Exchange. The sources indicate a high level of satisfaction and good care outcomes achieved with substantial cost effectiveness. Patient satisfaction was primarily derived from the attributes of access to health care, convenience and usability of the home telecare system. Home telecare is a means to augment health care resources, however additional study is necessary to determine how to best optimize its application.