Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
Evaluation of a Home-based Telemonitor Service
Nottingham Primary Care Trust has launched telemonitoring to support: independent living and
self-management ability of people with congestive heart failure (CHF), chronic obstructive
pulmonary disease (COPD) and co-morbidities; and reduce the health care utilisation
associated with these patients, including the number of hospitalisations, GP visits and
community matron and specialist community nurse home visits.
The Multidisciplinary Assessment of Technology Centre for Healthcare (MATCH) will evaluate
the technology and its impact of this telemonitoring system on quality of care (i.e. process
measures), patient outcomes and direct healthcare costs from an NHS perspective.
The study is designed to evaluate the impact of home-based monitoring to support community
based nursing services and care matrons in the management of patients with CHF and COPD and
co-morbidities. The main issue is to design a study that will determine the impact of the
use of the technology independent of other factors. A randomised controlled trial has been
chosen in which equal numbers of participants with and without home-based monitoring will be
followed over the study to determine differences in utilisation of healthcare services
including number of hospitalisations, length of stay in hospital, GP visits and community
matron and specialist community nurse home visits.
The ethical issue is how to determine those that will receive home-based monitoring and
those that will be denied. The study requires that participants are matched for severity of
their condition in each arm and this could deny some from the potential benefits of
monitoring. However, as only a limited number of home-based monitors are available and all
participants will continue to receive normal health care services, we believe that those
denied monitoring will not receive care that is different to patients not in the study and
the ethical issues are acceptable.
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Observational Model: Cohort, Time Perspective: Prospective
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