Key result
Home telehealth faces high attrition, with ~32% of heart failure and COPD patients refusing adoption.
Why the study?
What are the rates of uptake and continued use of home telehealth among patients with heart failure and COPD, and what factors influence these behaviors?
Systematic Review
What are the rates of uptake and continued use of home telehealth among patients with heart failure and COPD, and what factors influence these behaviors?
A significant proportion of HF and COPD patients refuse or abandon home telehealth, highlighting the need to better understand and address barriers to its use.
High refusal and abandonment rates caution against assuming ready telehealth uptake in HF or COPD; extends evidence on patient-level barriers to adoption.
BACKGROUND: Home telehealth has the potential to benefit heart failure (HF) and chronic obstructive pulmonary disease (COPD) patients, however large-scale deployment is yet to be achieved. PURPOSE: The aim of this review was to assess levels of uptake of home telehealth by patients with HF and COPD and the factors that determine whether patients do or do not accept and continue to use telehealth. METHODS: This research performs a narrative synthesis of the results from included studies. RESULTS: Thirty-seven studies met the inclusion criteria. Studies that reported rates of refusal and/or withdrawal found that almost one third of patients who were offered telehealth refused and one fifth of participants who did accept later abandoned telehealth. Seven barriers to, and nine facilitators of, home telehealth use were identified. CONCLUSIONS: Research reports need to provide more details regarding telehealth refusal and abandonment, in order to understand the reasons why patients decide not to use telehealth.
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Gorst et al. (2014) conducted a systematic review in Heart failure and chronic obstructive pulmonary disease. Home telehealth was evaluated on Rates of refusal and abandonment of home telehealth. Almost one third (32%) of patients with heart failure or COPD who were offered home telehealth refused it, and one fifth (20%) of those who accepted later abandoned the technology.
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