Healthc Inform Res.  2015 Oct;21(4):223-229. 10.4258/hir.2015.21.4.223.

Geriatric Telemedicine: Background and Evidence for Telemedicine as a Way to Address the Challenges of Geriatrics

• Merrell RC

• KMID: 2166870
• DOI: http://doi.org/10.4258/hir.2015.21.4.223

Abstract

OBJECTIVES
The global population of elderly people is increasing at a remarkable rate, which may be expected to continue for some time. Older patients require more care, and with the current model of care delivery, the costs may be expected to rise, although higher cost is unsustainable. For this reason, a new pattern of practice is needed. Telemedicine will be presented as a highly effective and necessary tool in geriatrics.
METHODS
This review will present some of the background and evidence for telemedicine as a way to address the challenges of geriatrics through geriatric telemedicine. Some of the evidence for the value of telemedicine as a tool for physicians and healthcare systems is presented.
RESULTS
Telemedicine offers many means to address the problems of geriatric care in creative ways. The use of electronic medicine, telecommunications, and information management has now found its way into the very fabric of health care. The use of telemedicine is a fait accompli in much of the world, and it continues to have an increasing role deeply imbedded in our electronic practices coupled with social media.
CONCLUSIONS
The evidence for successful incorporation of telemedicine into practice is abundant and continues to accrue. This is a great opportunity for medical practice to evolve to new levels of engagement with patients and new levels of attainment in terms of quality care.

Keyword

Telemedicine; Geriatrics; Informatics

MeSH Terms

Aged
Delivery of Health Care
Geriatrics*
Humans
Informatics
Information Management
Social Media
Telecommunications
Telemedicine*

Reference

1. Brubaker JK. The birth of a new specialty: geriatrics. J Lanc Gen Hosp. 2008; 3(3):105–107.

2. World Health Organization. National Institute on Aging. Global health and aging [Internet]. Geneva, Switzerland: World Health Organization;2011. cited at 2015 Oct 1. Available from: www.who.int/ageing/publications/global_health/en/.

3. National Council on Aging. Health aging facts [Internet]. Arlington (VA): National Council on Aging;c2015. cited at 2015 Oct 1. Available from: https://www.ncoa.org/news/resources-for-reporters/get-the-facts/healthy-aging-facts/.

4. Statistica. Statistics and facts about U.S. physicians [Internet]. New York (NY): Statistica;c2015. cited at 2015 Oct 1. Available from: http://www.statista.com/topics/1244/physicians/.

5. World Health Organization. Country statistics: United States of America [Internet]. Geneva, Switzerland: World Health Organization;c2015. cited at 2015 Oct 1. Available from: http://www.who.int/countries/usa/en/.

6. Iglehart JK. The woeful neglect of health care workforce issues. Health Aff. 2002; 21(5):7–8.

7. Span P. Even fewer geriatricians in training [Internet]. New York (NY): The New York Times;2013. cited at 2015 Oct 1. Available from: http://newoldage.blogs.nytimes.com/2013/01/09/even-fewer-geriatricians-in-training/?module=BlogPost-Title&version=Blog%20Main&action=Click&pgtype=Blogs&region=Body.

8. Association of American Medical Colleges. Workforce data and reports [Internet]. Washington (DC): Association of American Medical Colleges;c2015. cited at 2015 Oct 1. Available from: https://www.aamc.org/data/workforce/reports.

9. American Geriatric Society [Internet]. New York (NY): American Geriatric Society;c2015. cited at 2015 Oct 1. Available from: http://www.americangeriatrics.org/.

10. Central Intelligence Agency. The world factbook [Internet]. Washington (DC): Central Intelligence Agency;c2015. cited at 2015 Oct 1. Available from: https://www.cia.gov/library/publications/the-world-factbook/.

11. Nobel Prize [Internet]. [place unknown]: Nobel Prize;c2015. cited at 2015 Oct 1. Available from: http://www.nobelprize.org/.

12. Computer History Museum. Timeline of computer history [Internet]. Mountain View (CA): Computer History Museum;c2015. cited at 2015 Oct 1. Available from: http://www.computerhistory.org/timeline/.

13. Public Law 111-5 (February 17, 2009) [Internet]. Washington (DC): Department of Health & Human Services;c2015. cited at 2015 Oct 1. Available from: http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/hitechact.pdf.

14. Leiner BM, Cerf VG, Clark DD, Kahn RE, Kleinrock L, Lynch DC, et al. Brief history of the Internet [Internet]. Reston (VA): Internet Society;c2015. cited at 2015 Oct 1. Available from: http://www.internetsociety.org/briefhistory-internet.

15. American Telemedicine Association [Internet]. Washington (DC): American Telemedicine Association;c2015. cited at 2015 Oct 1. Available from: http://www.americantelemed.org/.

16. Cochrane Community (beta) [Internet]. London: The Cochrane Collaboration;c2015. cited at 2015 Oct 1. Available from: http://community.cochrane.org/.

17. Bashshur RL, Shannon GW. History of telemedicine: evolution, context, and transformation. New Rochelle (NY): Mary Ann Liebert;2009.

18. Bashshur RL, Shannon GW, Smith BR, Alverson DC, Antoniotti N, Barsan WG, et al. The empirical foundations of telemedicine interventions for chronic disease management. Telemed J E Health. 2014; 20(9):769–800.

19. Bashshur RL, Shannon GW, Smith BR, Woodward MA. The empirical evidence for the telemedicine intervention in diabetes management. Telemed J E Health. 2015; 21(5):321–354.

20. Levine M, Richardson JE, Granieri E, Reid MC. Novel telemedicine technologies in geriatric chronic non-cancer pain: primary care providers' perspectives. Pain Med. 2014; 15(2):206–213.

21. Lemay G, Azad N, Struthers C. Utilization of home telemonitoring in patients 75 years of age and over with complex heart failure. J Telemed Telecare. 2013; 19(1):18–22.

22. Chumbler NR, Li X, Quigley P, Morey MC, Rose D, Griffiths P, et al. A randomized controlled trial on stroke telerehabilitation: the effects on falls self-efficacy and satisfaction with care. J Telemed Telecare. 2015; 21(3):139–143.

23. Postma-Nilsenova M, Postma E, Tates K. Automatic detection of confusion in elderly users of a web-based health instruction video. Telemed J E Health. 2015; 21(6):514–519.

24. Makai P, Perry M, Robben SH, Schers HJ, Heinen MM, Olde Rikkert MG, et al. Evaluation of an eHealth intervention in chronic care for frail older people: why adherence is the first target. J Med Internet Res. 2014; 16(6):e156.

25. Shah MN, Gillespie SM, Wood N, Wasserman EB, Nelson DL, Dozier A, et al. High-intensity telemedicine-enhanced acute care for older adults: an innovative healthcare delivery model. J Am Geriatr Soc. 2013; 61(11):2000–2007.

26. Esterle L, Mathieu-Fritz A. Teleconsultation in geriatrics: impact on professional practice. Int J Med Inform. 2013; 82(8):684–695.

27. Yellowlees P, Odor A, Patrice K, Parish MB, Nafiz N, Iosif AM, et al. Disruptive innovation: the future of healthcare? Telemed J E Health. 2011; 17(3):231–234.