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In the UK there is now a focus on large-scale adoption following major demonstration initiatives such as England's Whole System Demonstrator (WSD) programme, running since 2008 and involving more than 6,000 participants, and Scotland's telehealthcare demonstration programme, starting in April 2012 and involving at least 10,000 older and disabled people (Sweet and Down 2011).
And I also objected recently when EBM was used for the whole system demonstrator (WSD) of telehealth, a task to which it is not suited.
The Whole System Demonstrator (WSD) project presented its second stage of research findings, which reported no evidence base to show that telehealth improves people's quality of life.
The research, the latest findings to emerge from the Department of Health's whole system demonstrator (WSD) evaluation of telehealth and telecare, the world's biggest trial of the technology, calls into question the degree of official enthusiasm for its adoption.
The announcement of the Whole System Demonstrator (WSD) results in early December 2011 highlighted that telehealth provides a unique opportunity to make significant financial savings when implemented for patients suffering with long-term conditions.
You will remember that a trial, called the whole system demonstrator, covering 6000 long-term patients in Kent, Newham and Cornwall, has been chuntering along for about three years.
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I was not surprised, therefore, that after the whole systems demonstrator in Kent, West Ham and Cornwall, only 2% of the patients wanted to return their monitoring devices.
In the same vein, I have been going on about what seem to me interminable delays in publishing the findings of the whole systems demonstrator (WSD) programme on telehealth.
As an ageing patient, reluctant to go near hospitals for fear of contracting MRSA, I have been increasingly irritated that definitive results of the "whole systems demonstrator" (WSD) of telehealth and telecare have been so slow to appear.
Announcing the strategy, prime minister David Cameron said that the whole systems demonstrator (WSD) programme trial had been a big success and that the Department of Health would now implement the programme nationally.
Part of the evaluation of the Whole Systems Demonstrator trial.
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