Use of telemedicine in patients with heart failure

Lazarová, Marie; Hlavinka, Antonín; Šulc, Patrik; Dodulík, Jozef; Václavík, J.

doi:10.36290/vnl.2022.031

Cited by 4 publications

(5 citation statements)

References 21 publications

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“…mHealth also provides online consultation, physical sign monitoring and other services, so that patients in need can enjoy medical services at home. The mHealth services greatly reduce the cost of medical treatment for patients and demand for emergency services, save medical resources, and reduce readmission rates and morbidity 49 . However, different intervention approaches may also affect patient adherence to the intervention program.…”

Section: Discussionmentioning

confidence: 99%

“…The mHealth services greatly reduce the cost of medical treatment for patients and demand for emergency services, save medical resources, and reduce readmission rates and morbidity. 49 However, different intervention approaches may also affect patient adherence to the intervention program. Compared with SMS and WeChat, the method of guided intervention by phone can quickly achieve communication and interaction with medical staff, answer patients' doubts, greatly improve efficiency, and have better results for older patients with heart failure.…”

Section: Influence On Medication Adherencementioning

confidence: 99%

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A meta-analysis of effectiveness of mobile health interventions on health-related outcomes in patients with heart failure

Zhang,

Nie,

Yang

et al. 2024

Journal of Cardiovascular Medicine

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Aims To systematically evaluate the effectiveness of mobile health (mHealth) interventions on medication adherence in patients with heart failure. Methods The literature search was conducted in PubMed, Web of Science, the Cochrane Library databases, Embase, China National Knowledge Infrastructure (CNKI), Wanfang Database and China Scientific Journal Database (VIP). The retrieval period was from the establishment of the database to May 2023. The included studies were trials to explore the effectiveness of mHealth interventions on medication adherence in patients with heart failure. Cochrane collaboration's tool was used for assessing risk of bias in randomized controlled trials. Stata 17.0 software was used to conduct data analysis. Continuous data were expressed as standard mean differences, and dichotomous data were expressed as relative risks with 95% confidence intervals (CIs). Results A total of 13 studies and 2534 participants were included. One study was rated as Grade A, and the other 12 studies were Grade B. The results of meta-analysis indicate that mHealth interventions are effective in improving medication adherence [relative risk (RR) = 1.26, 95% CI 1.10–1.44, P < 0.05 and standard mean difference = 0.80, 95% CI 0.44–1.15, P < 0.05], and reducing readmission rates (RR = 0.63, 95% CI 0.53–0.76, P < 0.05) and mortality (RR = 0.63, 95% CI 0.43–0.94, P < 0.05) of patients with heart failure. Conclusion mHealth interventions are beneficial to improve medication adherence in patients with heart failure, and could effectively reduce the readmission rates and mortality of patients in the studies. There is a need to continuously improve the professional abilities of intervention personnel, carry out teamwork, and extend intervention and follow-up time. Convenient, fast and low-cost mobile medical devices should be adopted to reduce the cost of medical treatment. Scientific and reasonable intervention content will be formulated according to evidence-based guidelines and theoretical basis to enhance patients’ ability at self-management and understanding of heart failure knowledge.

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Section: Discussionmentioning

confidence: 99%

Section: Influence On Medication Adherencementioning

confidence: 99%

A meta-analysis of effectiveness of mobile health interventions on health-related outcomes in patients with heart failure

Zhang,

Nie,

Yang

et al. 2024

Journal of Cardiovascular Medicine

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“…The greater experience with telemedicine in the Czech Republic, reinforced by the COVID-19 pandemic, has contributed to the fact that a wider introduction of telemedicine elements in different healthcare fields is already generally supported by patients ( 12 , 30 ). Our research also confirmed the high level of patient acceptance of telemedicine interventions, similar to the level of acceptance in foreign studies ( 31 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Těšinová,

Dobiášová,

Dušek

et al. 2023

Front. Public Health

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Telemedicine is a way to improve healthcare outcomes with greater efficiency for both patients and care providers. The great potential of digital technologies also lies in strengthening the patient-centered approach. The early successes and benefits of telemedicine in the Czech Republic, amplified by the COVID-19, have contributed to the fact that wider implementation of telemedicine is already generally supported at the expert and public levels. Our research focuses on the identification of key issues in the implementation of telemedicine and the challenges of telemedicine in the future, from the perspective of patients and other stakeholders. The study is based on a qualitative research approach, combining focus groups with key stakeholders, patient panels and expert panels (2021–2022). The lack of rules and uncoordinated development of various activities proved to be the main barriers to the integration of telemedicine in the health system. This regulatory uncertainty can generate a number of problems in the patient–doctor relationship in practice, including ethical ones, and can also lead to inequalities in access to healthcare and affect the overall quality of care provided. Furthermore, it has been shown that patients’ interests in the implementation of telemedicine are: 1. a predictable and reliable framework that guarantees them certainty and security in the provision of telemedicine services, 2. telemedicine solutions that increase the availability and efficiency of the care provided while bringing comfort, and 3. user-friendly and simple solutions. At the same time, patients want to understand the new environment and be active participants in the process of digital innovation, including the practical implementation of telemedicine. The research team has developed recommendations for further developments in the implementation of telemedicine that reflect the patient’s interest and can be implemented at three levels – the health system, institutional, and community level. In countries with a well-developed and institutionalized patient movement, the community level can be represented by patient organizations, thus becoming the link between telemedicine policy making and implementation at the individual level of healthcare provision. For the further development of telemedicine, the development of a national strategy involving all key stakeholders, including patients, in the implementation has proven essential.

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“…El cuanto a la situación en el Perú, se cuenta con un Plan Nacional de Telesalud, así como una Norma Técnica de Salud basada en Telesalud (16); Este desarrollo en las tecnologías de telecomunicaciones han creado nuevas posibilidades para suministrar la atención de telemedicina como complemento del tratamiento médico de pacientes con insuficiencia cardíaca (17).…”

Section: Introductionunclassified

Efectividad de la telemedicina en la prevención de hospitalización por insuficiencia cardiaca descompensada de un Hospital de las Fuerzas Armadas

Gonzales¹

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Objetivos del estudio: Evaluar la efectividad de la introducción de la telemedicina en el tratamiento y seguimiento de los pacientes con el diagnostico de insuficiencia cardiaca en el Hospital Central de la Fuerza Aérea del Perú. Metodología: Se trata de un estudio cohorte retrospectivo. Se evaluará el beneficio del uso de la telemedicina en los pacientes con insuficiencia cardiaca del hospital. Se ejecutó el cálculo del número de la muestra para el estudio a través del programa EPIDAT, obteniéndose un intervalo de confianza del 95%, Se evaluará reducción de ingresos hospitalarios con el uso de la telemedicina en comparación a la consulta presencial.

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Use of telemedicine in patients with heart failure

Cited by 4 publications

References 21 publications

A meta-analysis of effectiveness of mobile health interventions on health-related outcomes in patients with heart failure

A meta-analysis of effectiveness of mobile health interventions on health-related outcomes in patients with heart failure

Development of telemedicine in the Czech Republic from patients’ and other key stakeholders’ perspective

Efectividad de la telemedicina en la prevención de hospitalización por insuficiencia cardiaca descompensada de un Hospital de las Fuerzas Armadas

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