{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:29:51Z","timestamp":1777876191195,"version":"3.51.4"},"reference-count":0,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The issue of how to optimize the routine use of tele-assistance (TA) in the clinical care remains to be addressed. Skills and costs of human resources represent the major component to care for chronic patients with TA.\n                    <jats:bold>Methods:<\/jats:bold>\n                    We investigated (1) the change in patient population, mortality, and staff utilization\/cost during the first 5-year activity of a TA program (24-h availability of a call center, pulse oxygen device, and second medical opinion) dedicated to chronic respiratory failure patients and (2) the staff time dedicated to each new patient admitted to the service.\n                    <jats:bold>Results:<\/jats:bold>\n                    Three-hundred and ninty-six patients (age 64\u2009\u00b1\u200917 years; 296 men) were reviewed across 5 years of activity. Patients followed\/year increased over time, particularly for amyotrophic lateral sclerosis subjects. Calls\/month dramatically increased from 60 to 290, with a 5-year number of calls equal to 12.952. The doctor's time dedicated to TA decreased over time, whereas the nurse's time increased allowing a cost saving of 39% when compared with budgeted salary costs. The number of home ventilated patients did not change, remaining over 78%. The mortality rate increased over time (from 6% to 11%). Both chronic obstructive pulmonary disease (COPD) and No-COPD patients used the TA service more frequently during the winter, and COPD used it also in the summer.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    A stable TA service dedicated to chronic respiratory failure may be reached after 4 years. Across years, (1) number of patients increased, with COPD and ventilated subjects being the most representative; (2) calls varied during seasons; (3) doctor's workload decreased, saving salary costs; and (4) each new enrolled patient may require 73 and 27\u2009min\/month of nurse and doctor, respectively.\n                  <\/jats:p>","DOI":"10.1089\/tmj.2009.0115","type":"journal-article","created":{"date-parts":[[2010,4,21]],"date-time":"2010-04-21T00:22:04Z","timestamp":1271809324000},"page":"299-305","source":"Crossref","is-referenced-by-count":23,"title":["Tele-Assistance in Chronic Respiratory Failure: Patients' Characterization and Staff Workload of 5-Year Activity"],"prefix":"10.1177","volume":"16","author":[{"given":"Michele","family":"Vitacca","sequence":"first","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abramo","family":"Bazza","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Gil\u00e8","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuliano","family":"Assoni","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Porta","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrica","family":"Bertella","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Fiorenza","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Barbano","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Comini","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simonetta","family":"Scalvini","sequence":"additional","affiliation":[{"name":"Salvatore Maugeri Foundation, IRCCS","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,4,1]]},"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2009.0115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2009.0115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:16:59Z","timestamp":1777587419000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2009.0115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,4]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["10.1089\/tmj.2009.0115"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2009.0115","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,4]]}}}