Tele-care on keeping people out of hospital

How can Tele-care become an option of keeping people out of hospital and home cares?

Purpose

To alert support and care services to issues that relate to the existing evidence for telecare and the role it plays towards the identification of the tele-care as well as methods of investing in it and how to implement it.

 Introduction  

Tele care is offering care of old and the less physically fit people with remote care by providing the reassurance needed to enable them to continue living in their living homes. It is a technology of offering electronic monitoring via person-centred technologies to ensure maximum care and support to individuals. In many countries, telecare has been applied as a practice of offering health care services at a distance… The use of sensors is one part of the technology which helps in providing support for people who for example are suffering from illnesses like dementia or epilepsy.

Background information

Telecare program was launched in august of 2006 in Scotland. It was designed to help more p older people, people with disabilities and people with mobility impairments to live in their homes for longer with safety and security through a development associated fund. In was intended to become an integrated part of the Scotland community care services (Hailey & Ohinmaa, 2004). The use of this technology reduced the rate at which people were inappropriately admitted to hospitals especially due to falls and other related accidents in their homes (Hailey & Ohinmaa, 2004). Investment and Interest in telecare have been growing steadily over the past five years with the technology now being a controlled trial in England although it is not yet mainstream.

Research questions

In trying to understand well the research topic the following research questions shall be answered

  1. How are the telecare program packages designed to offer an effective solution to healthcare?
  2. How does telecare policy affect the health care systems of the community and its impact on people’s lifestyles?
  3. What are the management issues that need to be exploited for the implementation of tele-care?
  4. How does tele-care impact the lifestyles of old people and people living with physical complications?

Specific objectives

  1. It is intended to offer health care solutions as well as improve safety, improve monitoring and assist in reducing  or delaying access to hospitals and care homes.
  2. To increase creativity in addressing the system and measures that can be added to the

Technology to make it more effective in terms of cost, capability to be accessed by more people and lay a platform of expansion in future.

  1. To elaborate the use of tele-care on behalf of individual consumers statewide and national level. This involves creating awareness and educating; people on the benefits of using Tele-care as an alternative method of dealing with old age and physical disabilities (Brownsell & Bradley, 2001).
  2. To increase the understanding the effect of Tele-care across the health care system as a whole. The evidence of effects of Tele-care needs to be analyzed through simulation modeling because of the time taken for systematic effects to be seen.
  3. The study was intended to explore the major factors of influence on the implementation of Tele-care by care institutions. The investigation is mainly based on extensively on four major fields which include constructs of technology, project planning, environment and organization taking into consideration their corresponding variations.

Major aims

The major aims of this research is to study how tele-care have impacted the health care department and how it has offered solutions from keeping people with physical disabilities and old age people in hospitals and its social and economical benefits to the community as a whole. In this research we will take a case study of home health care and the elderly people living in UK (Barlow & Singh, 2004). The research will also provide support and information to local practices that will lead to issues related to National Tele-care Development programs.

The study will provide the systems to national leadership and strategic directions and advise to NHS with the help of social care organizations, this support from the industry will be responsible for creating market to lay a platform of delivering change.

In order to maximize the benefits of tele-care, it is very necessary that we appreciate the role plated by the local response services. The installation the installation of devices c provide technological opportunities for replacing the personnel   handle this roles, but the most issue is that before the installation of this devices there should an effective response from the appropriate support and care services like the call centers where direct calls can be made to the concerned personnel who can dispatch  appropriate help from qualified local support center or carer (Brownsell & Bradley, 2001) .

Methodology

Currently telcare evidence base is mostly based on medical models and published health and clinical informational journals. This brings out some vital implications for all those who emphasize on importance of evidence based practices and policies.

First the evidence base and the policies tend to move towards different directions. The evidence body is always post dated due to the longer time taken to publish the reviewed scientific journals as well as the technology (content of the policies) has developed during the intervening time.

Secondly, as many would consider RCT a gold standard for evidence, it is extremely difficult to accomplish such trials for the services of tele-care due to their complexity as an intervention in delivery of care and due to the necessity of the wider context which help in their deployment.

For this reason, the outcomes of tele-care evidence base are relatively weak compared to various types of medical technologies. This can not be the problem in the projects of tele-care that are stimulated by PTG (preventive technologies grant) because they are directed by social services. It is important, nevertheless to make sure that inadequacy of RCT evidences or incapability to conduct RCTs does not suffocate the innovative latest tele-care services which focus on peoples medical conditions (Hailey D & Crowe B, 2003).

Limitations

  1. Among the limitations of this research is the cost and resources implication of tele-care. It

Is a very expensive undertaking as it involves the working of professionals who work at the call alarm centers and 24 hours response services?

  1. Risk taking. Some older people who are becoming older and want to remain at home and keep their personal lives and dairy routines private. This makes it hard for the study to be undertaken as some of them see it as a way of publicizing their affairs which they do not condone. A study conducted indicates that older people who are suffering from falls do not want their falls to be known for fear of negative consequences like relocation to institutional care (Barlow & Bayer, 2005).

 Research validity and reliability

The factors analyzed were then concluded to give a conclusive picture of how the Tele-care devices worked in comparison to use of hospitals as a tool of offering and monitoring health aspects of the old.

 

 

 

 

 

 

Bibliography

Amala L& Turner T, 2003. A systematic review of telemonitoring for the management of    heart    failure. The European Journal of Heart Failure.

Barlow J & Singh D, 2004. A systematic review of the benefits of home telecare for frail     elderly             people and those with long-term conditions. Journal of Telecare.

Barlow J & Bayer S, 2005. Building the evidence base to support government policy           decisions on telecare. Aalborg, Denmark.

Brownsell S & Bradley D, 2001. An attributable costmodel for a telecare system using       advanced community alarms. Journal of Telemedicine and Telecare.

Hailey D & Crowe B, 2003. A profile of success and failure in telehealth –evidence and opinion    from the Successes and Failures in Telehealth conferences. Journal of Telemedicine and           telecare.

Hailey D & Ohinmaa A, 2004. Study quality and evidence of benefit in recent assessments of          telemedicine. Journal of Telemedicine and Telecare.


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