Multicenter randomised trial on home-based telemanagement to prevent hospital readmission of patients with chronic heart failure

Giordano, Amerigo; Scalvini, Simonetta; Zanelli, Emanuela; Corrà, Ugo; Longobardi, Giancarlo; Ricci, Vito; Baiardi, Paola; Glisenti, Fulvio

doi:10.1016/j.ijcard.2007.10.027

Cited by 203 publications

(219 citation statements)

References 33 publications

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“…3 In addition, well-done observational and randomized studies have clearly shown that the proportion of readmissions can be reduced. 4,5 If we combine this knowledge with a comparison of readmission rates, we can use differences in readmission rates among institutions and health care professionals to improve quality of care, for public reporting and for appropriate payment incentives, without knowing precisely how many readmissions are avoidable.…”

mentioning

confidence: 99%

How important is it to identify avoidable hospital readmissions with certainty?

Goldfield¹

2011

Canadian Medical Association Journal

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confidence: 99%

How important is it to identify avoidable hospital readmissions with certainty?

Goldfield¹

2011

Canadian Medical Association Journal

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“…Several approaches have been reported in the literature that is available on setting-up a telemedicine service to support patients at home (9,15,16). They differ from one medical discipline to another by using different methods and tools.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine support to patients with chronic diseases for better long-term control at home

Rudel¹,

Slemenik-Pušnik²,

Epšek-Lenart³

et al. 2017

SlovMedJour

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Ključne besede:telemedicina na domu; sladkorna bolezen tipa 2; kronično srčno popuščanje; opolnomočenje bolnika Key words:home telemedicine; diabetes mellitus type 2; chronic heart failure; patient empowerment Citirajte kot/Cite as: Zdrav Vestn. 2016; 85:676-85. prispelo: 20. 5. 2016 sprejeto: 6. 11. 2016 Telemedicine support to patients with chronic diseases for better long-term control at home AbstractAuthors in many scientific publications suggest that the telemonitoring of health parameters is a useful tool for supporting patients with long-term conditions staying at home and their self-management of the disease. Those patients are likely to benefit from timely and adequate response to deteriorated conditions detected by the telemedicine system. Almost all of the studies state that telemedicine provided as telemonitoring can be an effective add-on tool in the hands of patients and medical experts for the self-management of patients with, for example, heart failure or diabetes. In this paper the principles of patient telemonitoring are presented as applied within a telemedicine service provided by the Centre for Telehealth (CEZAR) at the General Hospital Slovenj Gradec (Slovenia). The centre supports patients with diabetes mellitus type 2 and/or with chronic congestive heart failure. The service was set-up in 2014 as part of a European project called UNITED4HEALTH. Since then over 550 patients from the Carinthia and Saleška regions (Slovenia) have been receiving telemedicine support for more than two years. The clinical outcomes of the telemedicine service published elsewhere prove that the selected telemedicine service model is adequate and the implemented technological solution is acceptable for all service users: the patients and the clinicians. IzvlečekAvtorji številnih znanstvenih objav navajajo, da je spremljanje parametrov zdravja na daljavo uporabno orodje pri podpori kroničnim bolnikom, ki sami, ob ustrezni medicinski podpori, skrbijo za svojo bolezen. Tem bolnikom pravočasen odziv in ukrepanje ob poslabšanju bolezni, ki ga omogoča telemedicinska storitev, izboljša izid zdravljenja. Rezultati vseh tovrstnih raziskav nakazujejo, da je lahko telemedicinska storitev v obliki spremljanja parametrov zdravja na daljavo (telemonitoring) učinkovito dodatno orodje v rokah bolnika in zdravstvenih oz. medicinskih strokovnjakov pri samooskrbi sladkorne bolezni in/ali srčnih bolezni. V članku predstavljamo princip telemedicinskega spremljanja, kot se uporablja v telemedicinski storitvi, ki jo ponuja Center za zdravje na daljavo (CE-ZAR), ki deluje v okviru Splošne bolnišnice Slovenj Gradec. Center nudi storitve bolnikom s sladkorno boleznijo tipa 2 in/oz. bolnikom s kroničnim srčnim popuščanjem. Storitev smo vzpostavili v letu 2014 v okviru evropskega projekta UNITED4HEALTH -Združeni za zdravje. Od začetka dela je center nudil storitve že 550 bolnikom koroške in saleške regije. Nekateri od njih prejemajo storitev že dve leti. Klinični rezultati telemedicinskega spremljanja, objavljeni drugje, potrjujejo, da ...

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“…[9] Several other studies also highlight the effectiveness of TM in reduction of hospital readmissions. [8,12,35,36] Early detection of episodes of worsening or exacerbations can prevent hospital readmission. Also a growing trend towards shorter hospital stays is apparent.…”

Section: Facilitating Experiencesmentioning

confidence: 99%

Facilitating and inhibiting factors to implement telemonitoring: A qualitative study

Willemse

Remmen

Adriaenssens

et al. 2016

IJH

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Objective: Despite the added value of telemonitoring (TM) in the management of chronic care, widespread implementation and continuation is failing. The aim of this qualitative study was to explore the facilitators and inhibitors for successful implementation among field experts and health care providers in the projects of TM in primary care. Methods: An exploratory qualitative design using semi-structured interviews with field experts of TM projects in Belgium. Results: The eight interviewees reported an overall positive perception on the actual use of TM. They emphasized that TM provides a promising approach to the ageing population with an increasing burden of chronic diseases. TM was said to increase disease awareness in patients with chronic heart failure. The interviewees were willing to use the new technology. Sharing patient data between health care professionals optimizes care continuity and transmural collaboration, with the focus on problem detection. However, TM in their projects was perceived as an additional task as it was not embedded in regular care. Coordination of care using TM was felt to be incomplete. Agreements on tasks and responsibilities in sharing patient data were unclear. The management and centralisation of data was difficult and impeded implementation in regular care. Furthermore, the interviewees noted that sustainability of their efforts was hampered as the projects would not be financed in the future. Conclusions: Field experts of pilot TM projects believe in benefits of TM and the willingness of health care providers to use the technology. To successfully implement TM in regular care the reported barriers need to be considered. Transmural collaboration with interaction and involvement of the chronic patient and a proactive team of care professionals is required. Efforts should be made to integrate TM in regular care, both structurally and financially.

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Multicenter randomised trial on home-based telemanagement to prevent hospital readmission of patients with chronic heart failure

Cited by 203 publications

References 33 publications

How important is it to identify avoidable hospital readmissions with certainty?

How important is it to identify avoidable hospital readmissions with certainty?

Telemedicine support to patients with chronic diseases for better long-term control at home

Facilitating and inhibiting factors to implement telemonitoring: A qualitative study

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