Abstract
Patients suffering from chronic, debilitating diseases like rheumatologic disorders (RDs) need constant support and regular interventions. This mandates the need for a multidimensional, multidisciplinary approach that includes self-care and social support to achieve an acceptable quality of life. The chronic care model, encompassing six major aspects of patient care, is one of the most widely accepted approaches to chronic healthcare. However, the large global burden of RDs calls for a revised model for improving access, minimizing logistic costs, and facilitating uniformity and quality. The integration of telemedicine into the chronic care model seems to the best answer to the problem at hand. Telemedicine involves using various information and communications technologies to overcome geographical barriers for clinical support and to improve healthcare outcomes. In this chapter, we attempt to understand the methods, advantages, and challenges of the application of telecare into management of RDs such as idiopathic inflammatory myositis (IIM).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gupta L, Lilleker JB, Agarwal V, Chinoy H, Aggarwal R. COVID-19 and myositis – unique challenges for patients. Rheumatology. 2021;60(2):907–10.
The Lancet: Latest global disease estimates reveal perfect storm of rising chronic diseases and public health failures fuelling COVID-19 pandemic [Internet]. Institute for Health Metrics and Evaluation. 2020 [cited 2021 Aug 3]. Available from: http://www.healthdata.org/news-release/lancet-latest-global-disease-estimates-reveal-perfect-storm-rising-chronic-diseases-and.
Roser M, Ritchie H. Burden of disease. Our World Data [Internet]. 2016 Jan 25 [cited 2021 Aug 3]; Available from: https://ourworldindata.org/burden-of-disease.
Virtual consulting in the times of COVID-19. 2021 Aug 3 [cited 2021 Aug 3]; Available from: https://www.indianjrheumatol.com/preprintarticle.asp?id=310842;type=0.
Wootton R, Bonnardot L. Telemedicine in low-resource settings. Front Public Health [Internet]. 2015 [cited 2021 Apr 25];3. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2015.00003/full.
Saud A, Naveen R, Aggarwal R, Gupta L. COVID-19 and myositis: what we know so far. Curr Rheumatol Rep. 2021;23(8):63.
Seixas AA, Olaye IM, Wall SP, Dunn P. Optimizing healthcare through digital health and wellness solutions to meet the needs of patients with chronic disease during the COVID-19 era. Front Public Health [Internet]. 2021 [cited 2021 Aug 3];0. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2021.667654/full.
Gupta L, Agarwal V, Misra R. Changing the way scientific meetings are conducted—results from a survey conducted among attendees of a technology-modeled rheumatology meeting. JCR J Clin Rheumatol [Internet]. 2021 Jul 28 [cited 2021 Aug 3]; Available from: https://journals.lww.com/jclinrheum/Citation/9000/Changing_the_Way_Scientific_Meetings_Are.98421.aspx.
Telecommunication in the COVID-19 era: as an assessment tool for patients with dermatomyositis. 2001 [cited 2021 Aug 3]; Available from: https://www.indianjrheumatol.com/preprintarticle.asp?id=310841.
Landon-Cardinal O, Bachasson D, Guillaume-Jugnot P, Vautier M, Champtiaux N, Hervier B, et al. Relationship between change in physical activity and in clinical status in patients with idiopathic inflammatory myopathy: a prospective cohort study. Semin Arthritis Rheum. 2020;50(5):1140–9.
Mago A, Naveen R, Knitza J, Shinjo SK, Gupta L, Aggarwal R. Patient-centred outcomes for monitoring disease remotely in idiopathic inflammatory myopathies. Indian J Rheumatol [Epub ahead of print] [cited 2022 May 4]. Available from: https://www.indianjrheumatol.com/preprintarticle.asp?id=342531.
Saygin D, Oddis CV, Dzanko S, Koontz D, Moghadam-Kia S, Ardalan K, et al. Utility of patient-reported outcomes measurement information system (PROMIS) physical function form in inflammatory myopathy. Semin Arthritis Rheum. 2021;51(3):539–46.
Hartasanchez SA, Heen AF, Kunneman M, GarcÃa-Bautista A, Hargraves IG, Prokop LJ, et al. Remote shared decision making through telemedicine: a systematic review of the literature. Patient Educ Couns [Internet]. 2021 Jun 11 [cited 2021 Aug 3]; Available from: https://www.sciencedirect.com/science/article/pii/S0738399121004110.
Rockette-Wagner B, Saygin D, Moghadam-Kia S, Oddis C, Landon-Cardinal O, Allenbach Y, et al. Reliability, validity and responsiveness of physical activity monitors in patients with inflammatory myopathy. Rheumatology [Internet]. 2021 Mar 14 [cited 2021 Aug 3];(keab236). Available from: https://doi.org/10.1093/rheumatology/keab236.
Davalbhakta S, Advani S, Kumar S, Agarwal V, Bhoyar S, Fedirko E, et al. A systematic review of smartphone applications available for Corona virus disease 2019 (COVID19) and the assessment of their quality using the mobile application rating scale (MARS). J Med Syst. 2020;44(9):164.
Big data-based analysis to characterise and identify variations in the type of Primary Care visits before and during COVID in Catalonia [Internet]. JMIR Preprints. [cited 2021 Aug 3]. Available from: https://preprints.jmir.org/preprint/29622.
Naveen R, Sundaram TG, Agarwal V, Gupta L. Teleconsultation experience with the idiopathic inflammatory myopathies: a prospective observational cohort study during the COVID-19 pandemic. Rheumatol Int. 2021;41(1):67–76.
Saygin D, Oddis CV, Moghadam-Kia S, Rockette-Wagner B, Neiman N, Koontz D, et al. Hand-held dynamometry for assessment of muscle strength in patients with inflammatory myopathies. Rheumatology. 2021;60(5):2146–56.
Winward S, Patel T, Al-Saffar M, Noble M. The effect of 24/7, digital-first, NHS primary care on acute hospital spending: retrospective observational analysis. J Med Internet Res. 2021;23(7):e24917.
Telemedicine and Telehealth | HealthIT.gov [Internet]. [cited 2021 Apr 25]. Available from: https://www.healthit.gov/topic/health-it-health-care-settings/telemedicine-and-telehealth.
Bhatia A, Kc M, Gupta L. Increased risk of mental health disorders in patients with RA during the COVID-19 pandemic: a possible surge and solutions. Rheumatol Int. 2021;41(5):843–50.
Gaur PS, Gupta L. Social media for scholarly communication in Central Asia and its neighbouring countries. J Korean Med Sci [Internet]. 2021 Jan 7 [cited 2021 Aug 4];36(4). Available from: https://doi.org/10.3346/jkms.2021.36.e36.
Gupta R, Joshi M, Gupta L. An integrated guide for designing video abstracts using freeware and their emerging role in academic research advancement. J Korean Med Sci [Internet]. 2021 Jan 11 [cited 2021 Aug 4];36(9). Available from: https://doi.org/10.3346/jkms.2021.36.e66.
Mago A, Aggarwal V, Gupta L. Telerheumatology and its interplay with patient-initiated care. Rheumatol Int [Internet]. 2021 Jun 24 [cited 2021 Aug 3]; Available from: https://doi.org/10.1007/s00296-021-04930-3.
Pioneering Remotely Piloted Aerial Systems (Drone) Delivery of a Remotely Telementored Ultrasound Capability for Self Diagnosis and Assessment of Vulnerable Populations—the Sky Is the Limit | SpringerLink [Internet]. [cited 2021 Aug 3]. Available from: https://link.springer.com/article/10.1007/s10278-021-00475-w.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Ganatra, K., Gupta, L., Aggarwal, R. (2022). Telerheumatology and the Chronic Care Model. In: Peoples, C. (eds) Telerheumatology. Springer, Cham. https://doi.org/10.1007/978-3-031-00936-5_14
Download citation
DOI: https://doi.org/10.1007/978-3-031-00936-5_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-00935-8
Online ISBN: 978-3-031-00936-5
eBook Packages: MedicineMedicine (R0)