eMedonline: Telehealth Medication Management System

eMedonline：远程医疗药物管理系统

• 批准号: 6988955
• 负责人: Barbara Ann Rapchak
• 金额: $ 49.31万
• 依托单位: LEAP OF FAITH TECHNOLOGIES, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6988955
• 关键词: Internet; behavioral /social science research tag; blood pressure; cardiovascular disorder chemotherapy; caregivers; chemotherapy; clinical research; clinical trials; computer assisted patient care; geriatrics; health care personnel; home health care; human subject; hypertension; locus of control; outpatient care; patient monitoring device; pharmacists; self care; technology /technique development; telemedicine; therapy compliance

DESCRIPTION (provided by applicant): Medication is a relatively inexpensive and efficient therapeutic strategy for treating a number of illnesses. However, the average rate of compliance for patients on chronic therapies is about 50% after one year and declines over time. Approximately 10% of hospital admissions are related to medication issues, and 23% of nursing home admissions are related to medication problems. Medication noncompliance is estimated to cost the US healthcare system an estimated $76.6 billion a year. The elderly represent an important population among those receiving drug therapy. They receive 30% of all prescriptions and buy 40% of all over-the-counter drugs. In 2003, there were an estimated 36 million people age 65 or older in the United States, accounting for almost 13% of the total population. The inability to manage medications is one of the leading reasons why seniors need additional, often more expensive care. Understanding the causes of noncompliance and identifying methods to help patients follow their regimens may improve health outcomes and reduce related costs. Such a methodology would facilitate aging in place and may delay the need for admission to assisted living facilities. The health decision model suggests that noncompliant behavior is multi-factorial. By modifying general and specific health beliefs, enhancing social interaction factors, and optimizing administration, compliance can be improved. In Phase II, we propose to determine whether the eMedonline medication management system improves compliance among elderly patients being treated for hypertension. We will evaluate effects on medication compliance, perceived social support, and feelings of control over health destiny in a sample of patients. We will also evaluate the acceptability of the system in a sample of healthcare providers, pharmacists, and caregivers.

描述（由申请人提供）：药物治疗是一种相对便宜和有效的治疗策略，用于治疗许多疾病。然而，慢性治疗患者的平均依从率在一年后约为50%，并随着时间的推移而下降。大约10%的入院与药物问题有关，23%的疗养院入院与药物问题有关。据估计，药物不依从性每年给美国医疗保健系统造成约766亿美元的损失。在接受药物治疗的人群中，老年人是一个重要的群体。他们收到30%的处方，购买40%的非处方药。2003年，美国估计有3600万65岁以上的人，占总人口的近13%。无法管理药物是老年人需要额外的，往往更昂贵的护理的主要原因之一。了解不依从的原因并确定帮助患者遵循其方案的方法可能会改善健康结果并降低相关成本。这种方法将有助于就地老龄化，并可能推迟入住辅助生活设施的需要。健康决策模型表明，不服从行为是多因素的。通过修改一般和特定的健康信念，提高社会互动因素，优化管理，可以提高依从性。在第二阶段，我们建议确定eMedonline药物管理系统是否能提高老年高血压患者的依从性。我们将评估药物治疗的依从性，感知社会支持，并在一个样本的患者的健康命运的控制感的影响。我们还将评估该系统在医疗保健提供者，药剂师和护理人员样本中的可接受性。