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Health Informatics Journal
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The role of home-based information and communications technology interventions in chronic disease management: a systematic literature review

R. Gaikwad

Section for Epidemiology and Biostatistics School of Population Health University of Auckland Private Bag 92019, Auckland, New Zealand, r.gaikwad{at}auckland.ac.nz

J. Warren

National Institute for Health Innovation Department of Computer Science-Tamaki University of Auckland Private Bag 92019, Auckland, New Zealand, jim{at}cs.auckland.ac.nz

This article presents a systematic literature review done to evaluate the feasibility and benefits of home-based information and communications technology enabled interventions for chronic disease management, with emphasis on their impact on health outcomes and costs. Relevant articles were retrieved from PubMed and evaluated using quality worksheets with pre-identified inclusion and exclusion criteria. Of the 256 articles retrieved, 27 were found to concord with the study criteria. Evaluation of the identified articles was conducted irrespective of study design, type of home-based intervention or chronic disease involved. The review demonstrates that HBIs applied to chronic disease management improve functional and cognitive patient outcomes and reduce healthcare spending. However, further research is needed to assess benefit in terms of evidence-based outcome indicators (that can provide a basis for meta-analysis), to confirm sustainable cost benefits, and to systematically collect data on physician satisfaction with patient management.

Key Words: chronic disease management • home-based interventions • information technology • telehomecare • telemonitoring

Health Informatics Journal, Vol. 15, No. 2, 122-146 (2009)
DOI: 10.1177/1460458209102973
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