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Effects of the Physician–Primary-Healthcare Nurse Telemedicine Model (P-NTM) on Medication Adherence and Health-Related Quality of Life (HRQoL) of Patients with Chronic Disease at Remote Rural Areas

Author

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  • Mi Young Kwak

    (Center for Public Healthcare, National Medical Center, 245 Euljiro, Jung-gu, Seoul 04564, Korea)

  • Eun Jeong Hwang

    (Department of Nursing, Sehan University, 1113, Samho-eup, Yeongam-gun, Jeollanam-do 58447, Korea)

  • Tae Ho Lee

    (Center for Public Healthcare, National Medical Center, 245 Euljiro, Jung-gu, Seoul 04564, Korea)

Abstract

Chronic diseases are a major cause of death and have a negative impact on community health. This study explored the effects of a chronic-disease management program utilizing the physician–primary-healthcare nurse telemedicine model (P–NTM) on medication adherence and health-related quality of life (HRQoL) in 113 patients with chronic diseases in remote rural areas. We used a quasi-experimental, nonequivalent-control-group pretest–post-test design. This study used secondary data from the 2018 Pilot Telemedicine Project for Underserved Remote Rural Areas. In this study, 113 subjects participated, in which the patient’s first visit was assigned as a control group for the previous face-to-face hospital care; after three months of receiving the P–NTM program, the same subjects were assigned to be the experiment group for P–NTM. Data were analyzed by using descriptive statistics, a paired t -test, and logistic regression. With regard to the results, subjects showed a 1.76 times higher probability of improving medication adherence after participating in P–NTM compared to hospital care (odds ratio (OR) = 1.76, 95% confidence interval (CI) = 1.34–2.31). Our findings showed that patients with chronic diseases, especially those who reside in remote rural areas, should be provided with effective health services, utilizing various strategies to enhance a healthy life.

Suggested Citation

  • Mi Young Kwak & Eun Jeong Hwang & Tae Ho Lee, 2021. "Effects of the Physician–Primary-Healthcare Nurse Telemedicine Model (P-NTM) on Medication Adherence and Health-Related Quality of Life (HRQoL) of Patients with Chronic Disease at Remote Rural Areas," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2502-:d:509735
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    References listed on IDEAS

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    1. Morisky, D.E. & Levine, D.M. & Green, L.W. & Shapiro, S. & Russell, R.P. & Smith, C.R., 1983. "Five-year blood pressure control and mortality following health education for hypertensive patients," American Journal of Public Health, American Public Health Association, vol. 73(2), pages 153-162.
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    Cited by:

    1. Anna Savoldelli & Daniele Landi & Caterina Rizzi, 2024. "Exploring Quantitative Methodologies for Assessing the Environmental, Social, and Economic Impacts of Telemedicine: A Literature Review," Sustainability, MDPI, vol. 16(6), pages 1-25, March.

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