Home Long-Term Oxygen Treatment in Italy: The Additional Value of Telemedicine
Home Long-Term Oxygen Treatment in Italy: The Additional Value of Telemedicine Books
Product Description
The development of new therapeutic strategies and the minimization of both direct and indirect expenditure represent crucial goals in the management of chronic diseases, particularly when these are characterized by a high degree of disability.
Chronic respiratory insufficiency (CRI) represents an example of a persistent disease worldwide, for which home management (i.e., daily nursing and treatment) was introduced more than two decades ago according to habitual operating protocols. “Home long-term oxygen treatment” (H-LTOT) was expected to yield significant clinical improvements, together with a substantial drop in CRI social expenditure (e.g., sickbay admissions, number of exacerbations, pharmaceutical expenditure, and patient’s reduced productivity).
The bestow volume describes the evolution in the home management of severe CRI over the last two decades in Italy. It reviews a range of topics including the epidemiological aspects, complicating events, current systems for oxygen delivery with the most convenient interfaces, changing approaches to the patient–caregiver relationship, and the economic burden. Particular attention is paid to the new trends in telemedicine, which is regarded as the future step in respiratory medicine for home-helped and home-ventilated patients. Data as regards the new role of nursing, the patient’s expectation of life, and the patient’s, family’s, and doctor’s perspective are also reported, together with an update on the economic impact of telemedicine and the continuing improvements in the quality of telematic H-OTLT.
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