Featured Research

from universities, journals, and other organizations

Phone-in doctoring fails to improve patient outcomes

Date:
November 16, 2010
Source:
Yale University
Summary:
Keeping in close contact with heart failure patients once they leave the hospital has been an ongoing challenge for physicians. A patient's condition can worsen with no notice and early intervention could potentially make a big difference. Researchers thought they found the solution with a telephone call-in program designed to improve doctor-patient communication. But results from their study shows that this program failed to improve patient outcomes.

Keeping in close contact with heart failure patients once they leave the hospital has been an ongoing challenge for physicians. A patient's condition can worsen with no notice and early intervention could potentially make a big difference.

Related Articles


Researchers at Yale School of Medicine thought they found the solution with a telephone call-in program designed to improve doctor-patient communication. But results from their study published in the November 16 New England Journal of Medicine shows that this program failed to improve patient outcomes. The paper will be presented simultaneously at the American Heart Association scientific sessions in Chicago, Illinois.

"Despite promising pilot studies, we could not find benefits of a telemonitoring system that was designed to enable patients to send critical information about their condition to their doctor on a daily basis," said first author Sarwat Chaudhry, M.D., assistant professor of medicine at Yale School of Medicine."

To test the idea that telemonitoring could improve patient outcomes, Chaudhry and her co-authors recruited clinicians at 33 cardiology practice sites across the country that reviewed and managed the telemonitoring information on the 1,653 patients enrolled in the six-month study. The investigators used a telephone-based interactive voice-response system that collected daily information about heart failure symptoms and body weight.

Clinicians managing patients' heart failure reviewed this information, with the idea that they could intervene if they saw early signs of a worsening condition. All patients in the study were recently hospitalized for heart failure, and were therefore at particularly high risk for adverse events, including readmission and death. The system flagged information that indicated that the patient's condition was worsening.

"Flaws in our health care system¬ -- in the mechanics of delivering care -- are responsible for many adverse outcomes for patients," said senior author Harlan Krumholz, M.D., the Harold H. Hines, Jr. Professor of Medicine, Epidemiology and Public Health at Yale School of Medicine. "It is not just how ill patients are, but how well the system functions for them and supports them in managing their recovery."

"We thought this phone system to facilitate communication would help, but we are in an era when we cannot assume that an intervention is helpful just because it seems it should work," Chaudhry said. "We need to test it and, in this case, the test showed that this approach is just not helpful. Maybe the communication alone is not enough; maybe there are other changes in our system that are necessary to improve patient outcomes."

"As we search for a new approach -- particularly approaches that change the way we practice -- we will need to evaluate them thoroughly to ensure that the resources we expend are providing benefit," Krumholz added.

The research was funded by the National Heart, Lung and Blood Institute. The work of one researcher in the above study was partially funded by the Yale Clinical and Translational Science Award (CTSA) grant from the National Center for Research Resources at the National Institutes of Health.

Other authors on the study included Jennifer Mattera, Jeptha Curtis, M.D., John A. Spertus, M.D., Jeph Herrin, Zhenqiu Lin, Christopher Phillips, M.D., Beth Hodshon, and Lawton Cooper, M.D.

Citation: New England Journal of Medicine, 10.1056/nejmoa1010029 (November 16, 2010).


Story Source:

The above story is based on materials provided by Yale University. Note: Materials may be edited for content and length.


Cite This Page:

Yale University. "Phone-in doctoring fails to improve patient outcomes." ScienceDaily. ScienceDaily, 16 November 2010. <www.sciencedaily.com/releases/2010/11/101116182042.htm>.
Yale University. (2010, November 16). Phone-in doctoring fails to improve patient outcomes. ScienceDaily. Retrieved March 29, 2015 from www.sciencedaily.com/releases/2010/11/101116182042.htm
Yale University. "Phone-in doctoring fails to improve patient outcomes." ScienceDaily. www.sciencedaily.com/releases/2010/11/101116182042.htm (accessed March 29, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Sunday, March 29, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com
These Popular Antibiotics Can Cause Permanent Nerve Damage

These Popular Antibiotics Can Cause Permanent Nerve Damage

Newsy (Mar. 27, 2015) — A popular class of antibiotic can leave patients in severe pain and even result in permanent nerve damage. Video provided by Newsy
Powered by NewsLook.com
WH Plan to Fight Antibiotic-Resistant Germs

WH Plan to Fight Antibiotic-Resistant Germs

AP (Mar. 27, 2015) — The White House on Friday announced a five-year plan to fight the threat posed by antibiotic-resistant bacteria amid fears that once-treatable germs could become deadly. (March 27) Video provided by AP
Powered by NewsLook.com
House Ready to Pass Medicare Doc Bill

House Ready to Pass Medicare Doc Bill

AP (Mar. 26, 2015) — In rare bipartisan harmony, congressional leaders pushed a $214 billion bill permanently blocking physician Medicare cuts toward House passage Thursday, moving lawmakers closer to resolving a problem that has plagued them for years. (March 26) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins