Is there a connection between telehomecare technology and health literacy?

Lisa Korsbakke Emtekær Hæsum
Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Denmark

Lars Ehlers
Centre of Improvement in Health Care, Faculty of Social Sciences and Faculty of Medicine, Aalborg University, Denmark

Ole K Hejlesen
Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Denmark/Department of Health and Nursing Science, University of Agder, Kristiansand, Norway/Department of Computer Science, University of Tromsø, Tromsø, Norway

Ladda ner artikel

Ingår i: Scandinavian Conference on Health Informatics 2013; Copenhagen; Denmark; August 20; 2013

Linköping Electronic Conference Proceedings 91:9, s. 39-43

Visa mer +

Publicerad: 2013-08-21

ISBN: 978-91-7519-518-6

ISSN: 1650-3686 (tryckt), 1650-3740 (online)


Chronic obstructive pulmonary disease (COPD) is a chronicdisease characterised by a graduate decline of pulmonary function and it constitutes a provable burden on both society and patients.Patient empowerment is recognised as an essential part in the management of COPD; as there is a strong connection between this concept and a reduction in the utilisation of various healthcare services. Telehomecare technology has been shown to enhance the level of empowerment among COPD patients. Patient empowerment is strongly associated with health literacy; so if telehomecare technologies are used to improve the level of health literacy among COPD patients it may be possible to provide a better and more individual care for COPD patients and at the sametime reducing healthcare costs. Both health literacy and telehomecare technologies have shown great potential interms of reducing healthcare costs and improving quality oflife for COPD patients; so the aim of this paper is actually toraise awareness regarding the potential of using telehomecare technology to improve the level of health literacy among COPD patients.


Health literacy; patient empowerment; education;patient-centered care; COPD; quality of life


[1] Vitacca; M.; L. Comini; and S. Scalvini; Is teleassistance for respiratory care valuable? Considering the case for a ’virtual hospital’. Expert review of respiratory medicine; 2010.4(6): p. 695-7.

[2] Gordois; A.; P. Scuffham; and D. Gibbons; The costeffectiveness of outreach respiratory care for COPD patients. Professional nurse; 2002. 17(8): p. 504-7.

[3] Effing T et al. Self-management education for patients with chronic obstructive pulmonary disease (review). The Cochrane Library 2007; Issue 4.

[4] http://www.who.int/respiratory/copd/en/index.html

[5] Sundhedsstyrelsen; Anbefalinger for KOL - Kronisk obstruktiv lungesygdom Anbefalinger for tidlig opsporing; opfølgning; behandling og rehabilitering; 2007.

[6] Pare; G.; M. Jaana; and C. Sicotte; Systematic review of home telemonitoring for chronic diseases: the evidence base. Journal of the American Medical Informatics Association: JAMIA; 2007. 14(3): p. 269-77.

[7] Global initiative for chronic obstructive lung disease; Global strategy for the diagnosis; management; and prevention of chronic obstructive pulmonary disease .HLBI/WHO workshop report; 2001; National heart; lung and blood institute

[8] Bilde; L. and A.R. Svenning; Omkostninger ved behandling af patienter med kronisk obstruktiv lungesygdom (KOL); 2004; DSI institut for sundhedsvæsen.

[9] Philip M Gold. The 2007 GOLD Guidelines: A Comprehensive Care Framework. August 2009. Respiratory Care; vol. 54 No8.

[10] Fromer; Len. Implementing chronic care for COPD: planned visits; care coordination; and patient empowerment for improved outcomes. International journal of COPD 2011.

[11] Labrecque; M et al. Can a self-management education program for patients with chronic obstructive pulmonary disease improve quality of life?. Can Respir J Vol 18 No 5 September/October 2011.

[12] Steuten LMG et al. Identifying potentially cost effective chronic care programs for people with COPD. International Journal of COPD 2009;4 87 – 100.

[13] Steventon; A et al. Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial; 2012; BMJ

[14] Wooton; Richard. Twenty years of telemedicine in chronic disease management – an evidence synthesis. 2012; Journal of Telemedicine and Telecare.

[15]http://www.who.int/respiratory/copd/management/en/inde x.html

[16] Gallefoss F; Bakke PS. Cost-benefit and costeffectiveness analysis of selfmanagement in patients with COPD – a 1-year follow-up randomised controlled trial. Respir Med 2002;96:424 – 31.

[17] Whitten; P. and M. Mickus; Home telecare for COPD/CHF patients: outcomes and perceptions. Journal of telemedicine and telecare; 2007. 13(2): p. 69-73.

[18] Horton; K.; The use of telecare for people with chronic obstructive pulmonary disease: implications for management. Journal of nursing management; 2008. 16(2): p. 173-80.

[19] Rojas; S.V. and M.P. Gagnon; A systematic review of the key indicators for assessing telehomecare costeffectiveness. Telemedicine journal and e-health : the official journal of the American Telemedicine Association; 2008. 14(9): p. 896-904.

[20] Pare; G.; et al.; Cost-minimization analysis of a telehomecare program for patients with chronic obstructive pulmonary disease. Telemedicine journal and e-health : the official journal of the American Telemedicine Association; 2006. 12(2): p. 114-21.

[21] Polisena; J.; et al.; Home telehealth for chronic disease management: a systematic review and an analysis of economic evaluations. International journal of technology assessment in health care; 2009. 25(3): p. 339-49.

[22] Bolton; C.E.; et al.; Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD. Journal of evaluation in clinical practice; 2010.

[23] Nutbeam D. Health promotion glossary. Health Promot. Int. 1998; 13(4):349- 64.

[24] Jassem E; et al. Integrated care for patients with advanced chronic obstructive pulmonary disease: a new approach to organization. Medycyna Praktyczna; 2010.

[25] Berkman N et al. Low Health Literacy and Health Outcomes: An Updated Systematic Review. 2011.

[26] Roberts et al. Health literacy in COPD. 2008. International Journal of COPD.

[27] Centre for Health Care Strategies. 2008. Centre for Health Care Strategies; Health Literacy Factsheets (online). Assessed 10-12-2012 http://www.chcs.org/publications3960/publications_show. htm?doc_id=291711

[28] Omachi et al. Health Literacy and Outcomes in COPD. 2012. J Gen Intern Med

[29] http://medicaldictionary. thefreedictionary.com/patient+empowerment

Citeringar i Crossref