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- W2552825778 abstract "Aims: To evaluate the scale of impact of a combined intervention using telehealth in parallel with clinical health coaching and specialist nurse interventions triggered by biometric data in a community service for COPD patients with a history of COPD admissions Methods: Data for admissions from the acute hospital and interventions from Leicester Partnership Trust and Totally Health were received from Leicester City CCG over a twelve month period. Data were analysed for the impact on admissions and overall resource use. Results: The number of admissions decreased at a statistically significant rate from 3.13 admissions per patient to 1.02 over the 12 month period (p=0.0000003). The overall net saving to the CCG over the 12 month period was £117,550. Conclusions: All of the interventions were regressed in isolation and in conjunction, with the exception of Telehealth which was accessed uniformly by all participants. Only the overall intervention including telehealth was statistically significantly effective; correlation co-efficient 0.995, which indicated an almost perfect correlation between accessing the interventions and reduced hospitalisations. In the analysis of variation, specialist nurse home visits and health coaching interventions, which had variable intensities trended towards significance (p=0.36 and p=0.17, respectively). Patient feedback advised that they were more knowledgeable about their condition, more confident in managing it and motivated to change behaviour in a positive direction as a result of being involved in the intervention." @default.
- W2552825778 created "2016-11-30" @default.
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- W2552825778 date "2016-09-01" @default.
- W2552825778 modified "2023-09-23" @default.
- W2552825778 title "The clinical and economic impact of the combined interventions of telehealth, specialist respiratory nursing care and health coaching interventions for COPD admissions within an urban setting" @default.
- W2552825778 doi "https://doi.org/10.1183/13993003.congress-2016.pa3958" @default.
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