Evidence map›Paper›PMID 29228992›Full record

Observational studyIsrael journal of health policy research2017

Maccabi proactive Telecare Center for chronic conditions - the care of frail elderly patients.

Avi Porath, Angela Irony, Avital Segal Borobick, Shuruk Nasser, Ateret Malachi, Naama Fund, Galit Kaufman

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Israel journal of health policy research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Sustaining primary care teams in the midst of a pandemic.Israel journal of health policy research · 2020
    Review
  10. Public educational psychology services in Israel on the internet.Israel journal of health policy research · 2019
    Article
  11. Review
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Avi PorathMaccabi Healthcare Services, 27 Hamered Street, 6812509, Tel Aviv, Israel. porath_avi@mac.org.il.ORCID 0000-0002-8884-7964
Angela IronyMaccabi Healthcare Services, 27 Hamered Street, 6812509, Tel Aviv, Israel.
Avital Segal BorobickMaccabi Healthcare Services, 27 Hamered Street, 6812509, Tel Aviv, Israel.
Shuruk NasserMaccabi Healthcare Services, 27 Hamered Street, 6812509, Tel Aviv, Israel.
Ateret MalachiMaccabi Healthcare Services, 27 Hamered Street, 6812509, Tel Aviv, Israel.
Naama FundMaccabi Healthcare Services, 27 Hamered Street, 6812509, Tel Aviv, Israel.
Galit KaufmanMaccabi Healthcare Services, 27 Hamered Street, 6812509, Tel Aviv, Israel.
Maccabi Healthcare Services · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2012, Maccabi Healthcare Services founded Maccabi Telecare Center (MTC), a multi-disciplinary healthcare service providing telemedical care to complex chronic patients. The current paper describes the establishment and operation of the MTC center, from the identification of the need for the service, through the design of its solution elements, to outcomes in several areas of care. We analyze the effects of the program on elderly frail patients, a growing population with complex and costly needs.

methodsObservational quasi-experimental analyses using propensity score matching was used to assess the effect of MTC's operation on utilization outcomes including direct costs.

resultsResults for frail elderly patients with complex chronic conditions show significant reductions in hospitalization days and hospitalization costs. MTC interventions also entailed lower overall average monthly costs in frail patients.

conclusionWe conclude that a proactive telehealth service for complex chronic patients using education, empowerment to self-management, and coordination of care is a cost-effective means of improving quality care and health outcomes in frail elderly patients.

Indexed as

Frail ElderlyAgedAged, 80 and overChronic DiseaseCosts and Cost AnalysisFemaleHospitalizationHumansMaleMiddle AgedPrimary Health CarePropensity ScoreTelemedicineElderly patientFrailtyHealth maintenance organizationsRemote consultation

Identifiers

PMID29228992
PMCPMC5724333
OpenAlexW2773217988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.