presentation of Alexandra Bargiota

34 Pages·2014·1.59 MB·English

Applying Evidence-Based Medicine with
Telehealth – the clinician view
“Assessing the impact of telehealth/telemedicine
either via an RCT or an observational study – the
voice of a clinician”

Alexandra Bargiota
Assist. Prof. in Endocrinology
University Hopsital of Larissa
Thessaly, Greece
www.united4health.eu
• Current status and need for Evidence Based Medicine in
telehealth

• RENEWING HEALTH selection of preliminary clinical
outcomes from Central Greece

• UNITED4HEALTH: Transforming Renewing Health outcomes
in everyday clinical practice.
• Chronic illnesses, such as asthma, COPD, diabetes, heart
failure and hypertension represent a significant burden of
disease

• Telehealth has attracted interest as a potential solution to the
global challenge of providing care for populations living with
chronic diseases.

• Current findings lend some support to the assertion that a
service redesign that included telehealth can improve care,
reduce admissions and mortality in people with long term
conditions.
• Action 75: Give Europeans secure online access to their
medical health data and achieve widespread telemedicine
deployment

-Undertake pilot actions to equip Europeans with secure
online access to their medical health data by 2015

- and to achieve by 2020 widespread deployment of
telemedicine services.
The clinicians’questions:

-Is there sufficient evidence to support the
effectiveness of telehealth on improving
patients’ care

-Where does this evidence come from

-What is the transferability of this evidence to the
every day clinical practice
Evidence-based clinical practice:

Is an approach to decision-making in which the clinician uses the best evidence
available, in consultation with the patient, to decide upon the option which suits
.
that patient best
Gray JAM. 1997. Evidence-based healthcare: how to make health policy and management decisions.
London: Churchill Livingstone.
Where “clinical evidence” comes from?
Health Information Technology Knowledge Base, (2010)The USA Office of the National
Coordinator for Health Information Technology (ONC)
• A randomised controlled trial (or randomised control trial.RCT):
is a specific type of scientific experiment, and the gold standard for a
clinical trial.

• RCTs are often used to test the efficacy or effectiveness of various types of
medical intervention within a patient population

Chalmers TC, Controlled Clinical Trials 2 (1): 31–49, 1981.
Telemedicine Standards and
Clinical Guidelines are required
Current evidence of telehealth in chronic
deseases