{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:49:11Z","timestamp":1781876951762,"version":"3.54.5"},"reference-count":41,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Chronic disease in older adults is estimated to account for 84% of annual health care spending in the United States, with many preventable costs expected to rise as the population continues to age.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Telehealth Intervention Programs for Seniors (TIPS) is a community-embedded program targeting low-income older adults, providing weekly assessment of vital signs and subjective wellness, and wrap-around aging services.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">TIPS recruited 765 volunteers over 55 years, who were Medicaid and\/or Medicare eligible. Data were collected from 2014 to 2016 [median enrollment 343 days (105\u2013435)] using 12 TIPS sites. This observational study evaluated the efficacy of TIPS by measuring within-subject changes in self-reported hospital visits and &lt;30-day readmissions, before and during TIPS participation. Data of 617 participants (median age 74.3; interquartile range 16) were analyzed.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Self-reported hospital visits were reduced by 28.9% (<\/jats:italic>\n                      p\n                      <jats:italic toggle=\"yes\">\u2009=\u20090.0013). Medicare participants benefited the most, with a 50% (<\/jats:italic>\n                      p\n                      <jats:italic toggle=\"yes\">&lt; 0.0001) reduction in hospital visits, and a 75.5% (<\/jats:italic>\n                      p\n                      <jats:italic toggle=\"yes\">\u2009=\u20090.017) reduction in &lt;30-day readmissions. Multivariate analysis revealed that participants (1) Medicaid-registered (odds ratio [OR]\u2009=\u20092.72, 95% confidence interval [CI] 0.392\u20131.611), (2) reporting feeling unwell (OR\u2009=\u20091.33, 95% CI 0.118\u20130.459), and (3) living alone (OR\u2009=\u20092.34, 95% CI 0.115\u20131.592) were significantly more likely than other participants to experience a hospital visit.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">TIPS demonstrates that community-embedded health services can reduce rates of hospital visits in older adults.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">The success of TIPS highlights the potential of successfully deployed remote patient-monitoring initiatives in reducing the utilization of costly health services.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2018.0248","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T10:46:51Z","timestamp":1555498011000},"page":"438-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Telehealth Intervention Programs for Seniors: An Observational Study of a Community-Embedded Health Monitoring Initiative"],"prefix":"10.1177","volume":"26","author":[{"given":"Taya","family":"Hamilton","sequence":"first","affiliation":[{"name":"Department of Telemedicine and Virtual Rehabilitation, Burke Medical Research Institute, White Plains, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam","family":"Johnson","sequence":"additional","affiliation":[{"name":"Stroke Department, The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian T","family":"Quinn","sequence":"additional","affiliation":[{"name":"Department of Telemedicine and Virtual Rehabilitation, Burke Medical Research Institute, White Plains, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Coppola","sequence":"additional","affiliation":[{"name":"Westchester Public\/Private Partnership for Aging Services, White Plains, New York."},{"name":"Seidenberg School of Computer Science and Information Systems, Pace University, Pleasantville, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Sachs","sequence":"additional","affiliation":[{"name":"Westchester Public\/Private Partnership for Aging Services, White Plains, New York."},{"name":"Seidenberg School of Computer Science and Information Systems, Pace University, Pleasantville, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Migliaccio","sequence":"additional","affiliation":[{"name":"Westchester Public\/Private Partnership for Aging Services, White Plains, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colette","family":"Phipps","sequence":"additional","affiliation":[{"name":"Westchester Public\/Private Partnership for Aging Services, White Plains, New York."},{"name":"Department of Senior Program and Services, The Westchester County Department of Senior Programs and Services, White Plains, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Westchester Public\/Private Partnership for Aging Services, White Plains, New York."},{"name":"Department of Senior Program and Services, The Westchester County Department of Senior Programs and Services, White Plains, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marikay","family":"Capasso","sequence":"additional","affiliation":[{"name":"Westchester Public\/Private Partnership for Aging Services, White Plains, New York."},{"name":"Department of Senior Program and Services, The Westchester County Department of Senior Programs and Services, White Plains, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mae","family":"Carpenter","sequence":"additional","affiliation":[{"name":"Westchester Public\/Private Partnership for Aging Services, White Plains, New York."},{"name":"Department of 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