Conclusions
Second generation,homebased telehealth as implemented
in the Whole Systems Demonstrator Evaluation was not effective or
efficacious compared with usual care only. Telehealth did not improve
quality of life or psychological outcomes for patients with chronic
obstructive pulmonary disease,diabetes,or heart failure over 12 months.
The findings suggest that concerns about potentially deleterious effect
of telehealth are unfounded for most patients.