The study, which was launched at the King’s Fund with the support of NHS Liverpool Clinical Commissioning Group and Philips, also attempted to address some of the issues that have bedevilled previous attempts to measure the impact of telehealth and telecare.
The research into the More Indpendent or Mi programme examined whether a patient having an emergency admission to hospital was a good predictor of further emergency admissions; and argued that other risk factors, such as age and having a long-term condition, “provide a better way to select patients.”
It also addressed the fact that people who have one or more emergency admissions in one year are likely to have fewer admissions in the following year; making simple claims about the benefit of putting such patients on telehealth programmes unreliable.
The study noted that one reason admissions can be high one year and low the next is that people who have been admitted to hospital receive high quality healthcare, which improves their condition. However, it argues that the regression is predictable and can be modelled.
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