Costs and benefits of personalized healthcare for patients with chronic heart failure in the care and education program "Telemedicine for the Heart"

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Stefan SohnOliver Schöffski

Abstract

A health economic analysis was conducted to evaluate the program "Telemedicine for the Heart," which the German Foundation for the Chronically Ill organizes for the Techniker Krankenkasse, one of the biggest German statutory health insurance funds. The program consists of nurse-calls to motivate patients to perform regular self-measurements (blood pressure, pulse, weight) with either their own or telemedical measuring devices provided by the program. In the case of measured values outside of set limits, calls to treating physicians were placed to allow for the initiation of therapy adjustments where applicable. To evaluate the program, a retrospective matched-pairs analysis was performed. Program participants (n=281) and regularly insured patients (n=843) were matched for demographics and morbidity status and compared according to their use of resources. Significant cost differences in favor of the study group of up to 25% in relation to total costs could be detected, particularly in the group of New York Heart Association (NYHA) classification II patients (persons with mild symptoms and slight limitation according to the NYHA classification for the extent of heart failure). In the more severe NYHA stages III and IV the cost re...Continue Reading

References

Apr 28, 2000·BMJ : British Medical Journal·S G Thompson, J A Barber
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Nov 30, 2002·Lancet·J G F ClelandUNKNOWN Study Group on Diagnosis of the Working Group on Heart Failure of The European Society of Cardiology
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Aug 5, 2005·The New England Journal of Medicine·Lars Osterberg, Terrence Blaschke

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Citations

Oct 18, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Yuji Akematsu, Masatsugu Tsuji
Feb 20, 2014·Heart, Lung & Circulation·Pupalan IyngkaranAlex Brown
Jun 27, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Rashid L BashshurPeter Yellowlees
Jan 14, 2016·Expert Review of Cardiovascular Therapy·Natale Daniele BrunettiGiuseppe Molinari
Nov 3, 2016·International Journal of Language & Communication Disorders·Donna C ThomasMichelle Lincoln
Sep 8, 2015·The Cochrane Database of Systematic Reviews·Gerd FlodgrenSasha Shepperd
Aug 30, 2017·Herzschrittmachertherapie & Elektrophysiologie·Bettina Zippel-SchultzThomas M Helms
Feb 16, 2021·Australian Health Review : a Publication of the Australian Hospital Association·Rachael SmithsonChristina Wicker

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