Hostname: page-component-7479d7b7d-q6k6v Total loading time: 0 Render date: 2024-07-12T23:33:04.493Z Has data issue: false hasContentIssue false
  • English
  • Français

Why go see the Doctor?: Care Goes From Office to Home as Technology Divorces Function from Geography

Published online by Cambridge University Press:  10 March 2009

John D. Stoeckle  and
Stephen Lorch
John D. Stoeckle
Affiliation:
Massachusetts General Hospital and Harvard Medical School
Stephen Lorch
Affiliation:
Massachusetts General Hospital and Harvard Medical School
Get access Rights & Permissions [Opens in a new window]

Abstract

Two functions of home care, assistance to improve disabled and aged patients' mobility and function, and self-care that includes treatment, screening-monitoring, exercise assistance, and information exchange, are described, as are the technologies used for these functions. Social and economic pressures as well as professional rationales that expand the use of technologies at home are noted, as is their impact on the site of care and on the patient-doctor relationship.

Type
Special Section: The Use And Abuse Of Low-Cost Technologies
Information
International Journal of Technology Assessment in Health Care , Volume 13 , Issue 4 , Fall 1997 , pp. 537 - 546
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Altman, B., & Walden, D.Home health care; Use, expenditures and sources of payment (AHCPR No. 93–0040). National Medical Expenditure Survey Research Findings 15. Rockville, MD: Public Health Service, 1993.Google Scholar
2. Anonymous. Telecommunications infrastructure: The human dimension, chapter 4. Tele medicine Journal, 1995, 11, 351–60.Google Scholar
3. Anonymous. A home HIV test is approved. Modern Medicine, 1996, 64, 25.Google Scholar
4. Anonymous. Bringing medicine home, self-testing kits monitor your health. Consumer Reports, 1996, 10, 44–55.Google Scholar
5. Anonymous. HMO, hospital research into homes via first high-speed network. Physician Manager, 1996, 7, 3.Google Scholar
6. Anonymous. Hospital to reach into homes to better manage recovery. Physician Manager, 1996, 7, 3.Google Scholar
7. Anonymous. On-line consults could hinder patient-MD relationship. Physician Manager, 1995, 6, 5–6.Google Scholar
8. Anonymous. Outreach system cuts care costs, teaches patients to spot symptoms. Physician Manager, 1996, 7, 3.Google Scholar
9. Anonymous. System supports virtual care for hospital's home care patients. Physician Manager, 1996, 7, 6–7.Google Scholar
10. Anonymous. The Rx-to-OTC switch marches on. Patient Care, 03 30, 1996, 51–56.Google Scholar
11. Anonymous. Why the Net should grow up. The Economist, 1996, 10, 17–18.Google Scholar
12. Anonymous. Medical kiosks bring health information to patients’ doorsteps. The Patients Network, 1997, 2, 22.Google Scholar
13.Balas, E. A., Jaffrey, F., Kupermann, G. H., et al. Electronic communication with patients, evaluation of distance medicine. Journal of the American Medical Association, 1997, 278,152–159.CrossRefGoogle ScholarPubMed
14.Boghikin, K., Casper, S. M., Fireman, B. H., et al. Home blood pressure monitoring: Effect on use of medical services and medical care costs. Medical Care, 1992, 30, 855–65.Google Scholar
15.Brown-Beasley, M. W.Telemonitoring exploits use of existing low-cost technology. Telemedicine, 1995, 3, 8.Google Scholar
16.Cabot, R. C. The achievements, standards and prospects of the Massachusetts General Hospital. Ether Day Address, 1919. Boston, privately printed.Google Scholar
17.Cullinane, P. M., Hypposote, K., Zatawya, A. L., & Friedman, R. H.Telephone linked communication, activity-counseling and tracking for older patients. Journal of General Internal Medicine, 1994, 9(suppl. 2), 86A.Google Scholar
18.Deber, R. B.Shared decision-making in the real world. Journal of General Internal Medicine, 1996, 11, 377–78.CrossRefGoogle ScholarPubMed
19.Donegan, P.Home test kits: Left to our own devices. Harvard Health Letter, 1995, 21, 1.Google Scholar
20.Field, M. J. (ed.) Committee on Evaluating Clinical Applications of Telemedicine. A guide to assessing telecommunications in health care. Washington, DC: National Academy Press, 1996.Google Scholar
21.Flood, A. B., Wennberg, J. E., Nease, R. F., et al. The importance of patient preferences in the decision to screen for prostate cancer. Journal of General Internal Medicine, 1996, 11, 342–49.CrossRefGoogle ScholarPubMed
22.Fox, D. M., Andersen, K. S., Benjamin, A. E., & Dunatov, L. J.Intensive home health care in the United States, financing as technology. International Journal of Technology Assessment in Health Care, 1987, 3, 561–73.CrossRefGoogle ScholarPubMed
23.Friedman, R. H., Kazis, L. E., Jette, A., et al. A telecommunications system for monitoring and counseling patients with hypertension: Impact on medication adherence and blood pressure control. American Journal of Hypertension, 1996, 9, 286–92.CrossRefGoogle ScholarPubMed
24.Friedson, E.Patients’ views of medical practice. New York: Russell Sage Foundation, 1961.Google Scholar
25.Frook, J. E. Web survey shows surge of surfers. Med-Trib Web, quarterly supplement to Medical Tribune, 04 1, 1996, 39.Google Scholar
26.Gilbert, S. New needs of society bring back a medical dinosaur: House calls. New York Times 09 18, 1996, C11.Google Scholar
27.Hise, P. A support group at your fingertips. Hippocrates, 04 1, 1996, 25–26.Google Scholar
28.Howard, L., Amend, M., Fleming, C. R., et al. Parenteral and enteral nutrition therapies in the U.S. Gastroenterology, 1995, 109, 355–66.CrossRefGoogle Scholar
29.Howell, J. D.Technology in the hospital: Transforming patient care in the early twentieth century. Baltimore: Johns Hopkins University Press, 1995.CrossRefGoogle Scholar
30.Kassirer, J. P.The next transformation in the delivery of health care. New England Journal of Medicine, 1996, 332, 52–54.CrossRefGoogle Scholar
31.Laderle Laboratories. Monitoring the savings with Verelan, how BP monitors free with Verelan can reduce patient visits by 29 percent (advertisement). Journal of the American Medical Association, 1996, 277.Google Scholar
32.LaPlante, M. P.Disability statistics report: State estimates of disabilities in America. Washington, DC: U.S. Department of Education, National Institute on Disability and Rehabilitation Research, 1993.Google Scholar
33.Lyon, H. C., Henderson, J. V., Beck, R. P., et al. A multi-purpose interactive videodisc with ethical, legal, medical, educational, and research implications: The informed patient decision-making procedure. In Kingsland, L. C. (ed.), Proceedings of the Thirteenth Annual Symposium on Computer Applications in Medical Care. Washington, DC, 11 5–8, 1989.Google Scholar
34.Mahmed, K., & Lenz, J.The personal telemedicine system, a new tool for the delivery of health care. Journal of Telemedicine and Telecare, 1995, 1, 173–77.CrossRefGoogle Scholar
35.Mann, W., Guttman, G. & Wister, A. V. (eds.). Use and potential use of assistive devices by home-based seniors in progressive accommodations for seniors: Interfacing shelter and service. Vancouver: Gereontology Research Centre, 1995, 181–96.Google Scholar
36.Mann, W.Product design for the mature consumer. Maximizing Human Potential, 1995, 2, 6–7.Google Scholar
37.Marwick, C.From Rx to OTC: More drugs make the switch. Journal of the American Medical Association, 1997, 278, 103.CrossRefGoogle ScholarPubMed
38.McKenney, J. M., Munroe, W. P., & Wright, J. T.Impact of an electronic medical compliance aid on long-term blood pressure control. Journal of Clinical Pharmacology, 1992, 32, 277–83.CrossRefGoogle ScholarPubMed
39.Meyer, L. C. Telecommunications and disease management in the home environment: new strategies to improve outcomes. Medical Interface, 1997, 06, 78–83.Google Scholar
40.Mulley, A. G. Personal communication. Foundation for Informed Decision-Making, Hanover, NH.Google Scholar
41.Multi-media management of respiratory medicine (Micro Medical Advertisement). Lancet, 1996.Google Scholar
42.National Home Care Association. Basic statistics about home care. Washington: NHCA, 1995.Google Scholar
43.National Sporting Goods Association, Washington, DC, 1996.Google Scholar
44.Nelson, H.Knowing what the problem is... and getting it solved: State reform of longterm care. New York: Milbank Memorial Fund, 1994.Google Scholar
45.Phillips, K. A., Flatt, S. J., Morrison, K. R., & Coates, T. J.Potential use of home HIV testing. New England Journal of Medicine, 1995, 332, 1308–10.CrossRefGoogle ScholarPubMed
46.Pickering, T. G.Utilizing home and ambulatory blood pressure monitoring. Contemporary Internal Medicine, 1996, 8, 14–16.Google Scholar
47.Report to the Chairman, U.S. House of Representatives Subcommittee on Health and Long-term Care, Select Committee on Aging. Long-term care for the elderly: Issues of need, access and cost. Washington, DC: United States General Accounting Office, 1988.Google Scholar
49.Richards, B. The 300-mile stethoscope. Wall Street Journal, 01 17, 1996, A1.Google Scholar
48.Richards, B. Telephone triage cuts costly ER visits. Wall Street Journal, 10 24, 1995, B1.Google Scholar
50.Richter, J. M., Goodson, J. D., Barry, M. J., & Treadway, K. K.Medical diagnostic testing in the home. International Journal of Technology Assessment in Health Care, 1989, 5, 53–61.CrossRefGoogle ScholarPubMed
51.Riessman, F., & Carroll, D.Redefining self-help, policy and practice. San Francisco: Jossey-Bass, 1995.Google Scholar
52.Robinson, J. C.The changing boundaries of the hospital. Milbank Quarterly, 1994, 72, 115–75.CrossRefGoogle Scholar
53.Shortell, S. M., Gillies, R. R., & Devers, K. J.Reinventing the American hospital. Milbank Quarterly, 1995, 73, 131–60.CrossRefGoogle ScholarPubMed
54.Silvestri, M. F., & Marro, E. P. Disease management: Intervening for better patient care. Medical Interface, 07, 1996, 100–04.Google Scholar
55.Stevens, R.American medicine and the public interest. New Haven: Yale University Press, 1971.Google Scholar
56.Stoeckle, J. D.Primary care and diagnostic testing outside the hospital. International Journal of Technology Assessment in Health Care, 1989, 5, 21–30.CrossRefGoogle ScholarPubMed
57.Stoeckle, J. D.The citadel cannot hold: Technologies go outside the hospital, patients and doctors too. Milbank Quarterly, 1995, 73, 3–17.CrossRefGoogle Scholar
58.Stoeckle, J. D., Zola, I. K., & Davidson, G. E.On going to see the doctor, the contribution of the patient to the decision to seek medical aid. Journal of Chronic Disease, 1962, 16, 975–89.CrossRefGoogle Scholar
59.Szabo, J.In bed to improve outcomes, cut costs, HMOs monitor patients’ compliance. Physicians Financial News, 09 30, 1996, 51, S512.Google Scholar
60.Tennstedt, S., Crawford, S., & McKinlay, J. B.Is family care on the decline? A longitudinal investigation of the substitution of formal long-term care services for informal care. Milbank Quarterly, 1993, 71, 601–24.CrossRefGoogle ScholarPubMed
61.U.S. Bipartisan Commission on Comprehensive Health Care. The Pepper Commission Fund Report: A call for action. Washington, DC: U.S. Government Printing Office, 1990.Google Scholar
62.U.S. Home Diagnostic and Monitoring Products Marketing Summary. Mountain View, CA: Frost and Sullivan, 1996.Google Scholar
63.West, J. (ed.). The Americans with Disability Act: From policy to practice. New York: Milbank Memorial Fund, 1991.Google Scholar
64.Wilson, J. F.Will demand management work? Health plans want to empower patients, not doctors. ACP Observer, 1997, 17, 1, 12–13.Google Scholar
65.Zola, I. K.Studying the decision to see a doctor. Advances in Psychosomatic Medicine, 1972, 8, 216–36.CrossRefGoogle ScholarPubMed