Telemedizin in der Tertiärprävention: Wirtschaftlichkeitsanalyse des Telemedizin-Projektes Zertiva® bei Herzinsuffizienz-Patienten der Techniker Krankenkasse

Heinen-Kammerer, Tatjana; Kiencke, P.; Motzkat, Kerstin; Nelles, Sandra; Liecker, Bodo; Petereit, Frank; Hecke, Torsten; Müller, Hardy; Rychlik, Reinhard

doi:10.1007/3-540-28954-2_30

Cited by 15 publications

(10 citation statements)

References 11 publications

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“…Telehealthcare services, which monitor patients' risk parameters and inform their GPs at the moment their general condition worsens, promised to reduce hospitalisation rates, leading to more effective care and higher quality. That these were indeed the relevant categories can also be seen in the primary outcomes of diverse telehealthcare trials that were and have been conducted since this time [21,26,27,29,49,74]. Patient satisfaction was considered in most of these trials, but the primary goal was to find out whether these services would be a reasonable inclusion in a health-insurance company's catalogue of services, offered as a tool to decrease costs.…”

Section: Playing Minesweeper In Germanymentioning

confidence: 98%

Managing Health(-Care Systems) Using Information Health Technologies

Mathar

2010

Health Care Anal

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This study aims to compare and contrast how specific information health technologies (IHTs) have been debated, how they have proliferated, and what they have enabled in Germany’s and England’s healthcare systems. For this a discourse analysis was undertaken that specifically focussed on future-scenarios articulated in policy documents and strategy papers released by relevant actors from both healthcare systems. The study reveals that the way IHTs have been debated and how they have proliferated depends on country-specific regulatory structures, their respective values, actors’ and institutions’ organized interests, and the status of health professionals. These conditions have enabled IHTs to promote a new and similar concept of patienthood in both countries, although they tend to affect practitioners’ practices more dramatically in England. The conclusion is drawn that with the usage of IHTs, healthcare systems reproduced existing patterns of health provision while also enabling a sort of convergence. Future research should investigate whether the new concept of patienthood emerging in both welfare states actually suits patients and professionals needs and requirements.

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Section: Playing Minesweeper In Germanymentioning

confidence: 98%

Managing Health(-Care Systems) Using Information Health Technologies

Mathar

2010

Health Care Anal

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“…Extending the results of the TEN-HMS an efficiency analysis was introduced based on the data provided by the telemedical project Zertiva® [4]. The analysis showed a reduction of costs, when complementing the normal treatment of patients with chronic heart failure with the telemonitoring of the patients vital parameters.…”

Section: State Of the Art In Tele-medicine Monitoring Systemsmentioning

confidence: 99%

Tele-medicine techniques for remote support of patients in dialysis and COPD

Görs

Marx

Albert

et al. 2011

2011 2nd International Conference on Instrumentation, Communications, Information Technology, and Biomedical Engineering

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The progress of telematics (=Telecommunication + Automation + Informatics) methods promisesin tele-medicine applications increasing quality of treatment at reduced costs. At the two example cases of COPD (Chronic Obstructive Pulmonary Disease) and of Dialysis a related sensor equipment to characterize the health status, as well as equipment for continuous and safe data transmission are presented. Data processing at a tele-service center has to filter information,such that only the critical cases are confronted to the doctors. Challenges, system architecture and first experiences of this tele-medicine approach for remote monitoring of patients are reported.

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“…Somit ist die Therapiealternative mit telemedizinischer Begleitung aus Sicht der GKV hinsichtlich des Therapieerfolgs und der Kosten der Behandlung gesundheitsökonomisch die eindeutig effektivere Behandlungsstrategie [45]. Vergleichsparameter waren der Erfolg und die Kosten der Behandlung mit und ohne telemedizinische Betreuung, wobei als Erfolg die Vermeidung stationärer Aufenthalte über den Beobachtungszeitraum von 180 Tagen definiert wurde.…”

Section: Telemonitoring Bei Chronischer Herzinsuffizienzunclassified

Telemonitoring bei Herz-Kreislauf-Erkrankungen in Deutschland

Helms

Zugck

Pelleter

et al. 2007

Herz

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The changes in the demographic structure, the increasing multimorbidity in connection with a rise in the number of chronic illnesses and the absence of an effective coordination of the different levels of healthcare services with its discontinuous processes and redundancies will lead to intolerable economic burdens in the German health-care system, affecting medical, health-political and economic dimensions alike. This is the significance in terms of content and strategy of "health telematics" as an application of modern telecommunication and information technologies in the health-care system, and of "E-Health" as a specification of all services, quality improvements and rationalization effects, which are achievable by digitizing data collection as well as communication processes. Not only do digitizing and electronic transmission offer a better, faster and safer way of communication, but by possibilities of combining data they also allow the rationalization and quality-improving introduction of new methods of diagnosis, therapy and aftercare. The latest developments and appropriate logistic premises nowadays offer a realistic basis for implementing telemonitoring as a central service and information tool as well as an instrument controlling the information and data flow between patient, hospital and medical practitioner. Considering the enormous significance of cardiovascular diseases, focusing on corresponding cardiologic disease patterns seems almost self-evident. Notwithstanding remarkable medical progress during the past few years, cardiovascular diseases are still the number one cause of death in industrialized countries. In the cardiologic sector, telemedical systems are most commonly used with patients suffering from coronary heart diseases, e.g., for the detection of unclear dysrhythmia, as well as with patients suffering from chronic heart failure. Seen from a medical point of view, it is paramount to judge the clinical situation without delay as well as to take necessary therapeutic measures timely and to control their efficiency over a long period of time.Consequently, telemedical projects include the establishment of a nonstop monitoring of patients with increased or high risk of cardiovascular incidents, starting with the hospitalization, postoperative/post in-house health care and up to home care. This kind of monitoring needs to be adjustable to the respective situation modularly in order to guarantee a smooth possibility of surveillance both in the stationary and the ambulant sector, which, in addition, has to be individually adjustable to the demand of required monitoring functions (heart rate, blood pressure, S-T segments, oxygen satiation, weight, breathing rate, and temperature) and the intensity of the monitoring (event recording, "on-demand" vs. continuous monitoring). Certainly rich in meaning for the future is the integrated telemedicine care of a "primary" cardiac patient with his relevant comorbidities: diabetes and coagulation monitoring, respectively.

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Telemedizin in der Tertiärprävention: Wirtschaftlichkeitsanalyse des Telemedizin-Projektes Zertiva® bei Herzinsuffizienz-Patienten der Techniker Krankenkasse

Cited by 15 publications

References 11 publications

Managing Health(-Care Systems) Using Information Health Technologies

Managing Health(-Care Systems) Using Information Health Technologies

Tele-medicine techniques for remote support of patients in dialysis and COPD

Telemonitoring bei Herz-Kreislauf-Erkrankungen in Deutschland

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