The impact of self-monitoring in chronic illness on healthcare utilisation: a systematic review of reviews
Open Access
- 1 June 2015
- journal article
- review article
- Published by Springer Science and Business Media LLC in BMC Health Services Research
- Vol. 15 (1), 1-10
- https://doi.org/10.1186/s12913-015-1221-5
Abstract
Self-management interventions have been found to reduce healthcare utilisation in people with long-term conditions, but further work is needed to identify which components of these interventions are most effective. Self-monitoring is one such component and is associated with significant clinical benefits. The aim of this systematic review of reviews is to assess the impact of self-monitoring interventions on healthcare utilisation across a range of chronic illnesses. An overview of published systematic reviews and meta-analyses. Multiple databases were searched (MEDLINE, CINAHL, PsycINFO, EMBASE, AMED, EBM and HMIC) along with the reference lists of included reviews. A narrative synthesis was performed, accompanied by calculation of the Corrected Cover Area to understand the impact of overlapping primary research papers. A total of 17 systematic reviews and meta-analyses across three chronic conditions, heart failure, hypertension and chronic obstructive pulmonary disease, were included. Self-monitoring was associated with significant reductions in hospitalisation and re-admissions to hospital. Self-monitoring has the potential to reduce the pressure placed on secondary care services, but this may lead to increase in services elsewhere in the system. Further work is needed to determine how these findings affect healthcare costs.This publication has 47 references indexed in Scilit:
- ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012European Journal of Heart Failure, 2012
- Telemonitoring in Chronic Heart Failure: A Systematic ReviewCardiology Research and Practice, 2012
- Self-monitoring of oral anticoagulation: systematic review and meta-analysis of individual patient dataThe Lancet, 2012
- Self-monitoring and self-management of oral anticoagulationPublished by Wiley ,2010
- AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviewsJournal of Clinical Epidemiology, 2009
- Specifying and reporting complex behaviour change interventions: the need for a scientific methodImplementation Science, 2009
- Developing and evaluating complex interventions: the new Medical Research Council guidanceBMJ, 2008
- Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysisBMJ, 2007
- Telemonitoring for Patients With Chronic Heart Failure: A Systematic ReviewJournal of Cardiac Failure, 2007
- Hypertension Home TelemonitoringDisease Management and Health Outcomes, 2007