Costs and Benefits of Personalized Healthcare for Patients with Chronic Heart Failure in the Care and Education Program “Telemedicine for the Heart”

Sohn, Stefan; Helms, Thomas M.; Pelleter, Jörg T.; Müller, A.; Kröttinger, A.; Schöffski, Oliver

doi:10.1089/tmj.2011.0134

Cited by 32 publications

(20 citation statements)

References 18 publications

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“…In 2012, a matched-pair analysis (essentially a case-control study) of 281 program participants receiving an intervention consisting of a decreasing intensity of nurse-supervised telephone calls were compared with a control group of 843 cases (a ratio of 1:3) matched on demographics and morbidity status. 165 In the intervention group, patients were encouraged to perform self-measurements (blood pressure, pulse, weight) via portable devices, and they received a mobile phone to transmit the data to the clinic if a telephone was not already available in the household. Monetized cost data for the two groups (including medication, hospitalization, therapeutic aids, total treatment, and mortality) were compared over a 1-year period.…”

Section: Cost-benefit Analysismentioning

confidence: 99%

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Bashshur

Shannon

Smith

et al. 2014

Telemedicine and e-Health

294

210

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The telemedicine intervention in chronic disease management promises to involve patients in their own care, provides continuous monitoring by their healthcare providers, identifies early symptoms, and responds promptly to exacerbations in their illnesses. This review set out to establish the evidence from the available literature on the impact of telemedicine for the management of three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease. By design, the review focuses on a limited set of representative chronic diseases because of their current and increasing importance relative to their prevalence, associated morbidity, mortality, and cost. Furthermore, these three diseases are amenable to timely interventions and secondary prevention through telemonitoring. The preponderance of evidence from studies using rigorous research methods points to beneficial results from telemonitoring in its various manifestations, albeit with a few exceptions. Generally, the benefits include reductions in use of service: hospital admissions/readmissions, length of hospital stay, and emergency department visits typically declined. It is important that there often were reductions in mortality. Few studies reported neutral or mixed findings.

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Section: Cost-benefit Analysismentioning

confidence: 99%

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Bashshur

Shannon

Smith

et al. 2014

Telemedicine and e-Health

294

210

View full text Add to dashboard Cite

show abstract

“…In the retrospective, matched-pairs study "Telemedicine for the Heart", besides a reduction of costs, patients with chronic HF and telemedicine support experienced a reduced number of hospital stays, optimized medical therapy, better quality of life, and reduced mortality [42]. Remote patient monitoring, when utilized in conjunction with a robust management protocol, was not found to significantly differ from live nursing visits in the management of HF in home care [43].…”

Section: Telemedicine For Rehabilitation and Chronic Heart Failurementioning

confidence: 99%

Telemedicine for cardiovascular disease continuum: A position paper from the Italian Society of Cardiology Working Group on Telecardiology and Informatics

Brunetti

Scalvini

Acquistapace³

et al. 2015

International Journal of Cardiology

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Telemedicine is the provision of health care services, through the use of information and communication technology, in situations where the health care professional and the patient, or 2 health care professionals, are not in the same location. It involves the secure transmission of medical data and information, through text, sound, images, or other forms needed for the prevention, diagnosis, treatment, and follow-up of a patient. First data on implementation of telemedicine for the diagnosis and treatment of acute myocardial infarction date from more than 10 years ago. Telemedicine has a potential broad application to the cardiovascular disease continuum and in many branches of cardiology, at least including heart failure, ischemic heart disease and arrhythmias. Telemedicine might have an important role as part of a strategy for the delivery of effective health care for patients with cardiovascular disease. In this document the Working Group on Telecardiology and Informatics of the Italian Society of Cardiology intends to remark some key-points regarding potential benefit achievable with the implementation of telemedicine support in the continuum of cardiovascular disease.

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“…A study by Palmas et al (2010) suggested that healthcare costs did not decrease Medicare costs in underserved populations with diabetes (Palmas et al, 2010). For persons with the most severe cases of heart failure, the study demonstrated that there were statistically insignificant cost disadvantages for the intervention group due to increases in hospital related cost (Sohn et al, 2012). From the provider perspective, Takahashi et al (2010) suggested that the remote monitoring group had an estimated cost of $14,678 per person and the control group was $10,161 per person, not justifying the use of remote monitoring to decrease cost.…”

Section: Cost and Rawlsmentioning

confidence: 96%

An ethical analysis of telemedicine: implications for future research

White-Williams

Oetjen

2015

IJTMCP

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Abstract:The challenges in healthcare have led to a system wide exploration of the potential benefits of remote monitoring. To comprehensively evaluate its utility, researchers, decision makers, and healthcare practitioners should assess remote monitoring in light of its ethical ramifications. This manuscript will consider two philosophical perspectives, teleology and deontology. Teleology, as supported by John Stuart Mill's utilitarian position, holds that the morality of a decision is based upon its consequences. In response, philosopher John Rawls offers a deontological framework, which supports remote monitoring if it benefits the most disadvantaged in society. It is through these philosophical frameworks that remote monitoring will be analysed in relation to its ability to affect change in access, quality, and cost of healthcare. Implications for future public health research will also be discussed.

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Costs and Benefits of Personalized Healthcare for Patients with Chronic Heart Failure in the Care and Education Program “Telemedicine for the Heart”

Abstract: The findings suggest that, besides a reduction of costs, by participating in "Telemedicine for the Heart" patients with chronic heart failure experienced a reduced number of hospital stays, optimized medical therapy, better quality of life, and reduced mortality.

Cited by 32 publications

References 18 publications

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Telemedicine for cardiovascular disease continuum: A position paper from the Italian Society of Cardiology Working Group on Telecardiology and Informatics

An ethical analysis of telemedicine: implications for future research

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