Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in Germany
The great epidemiological significance and costs associated with chronic heart failure pose a challenge to health systems in Western industrial countries. In the past few years, controlled randomised studies have shown that patients with chronic heart failure benefit from telemedical monitoring; spe...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | International Journal of Telemedicine and Applications |
| Online Access: | http://dx.doi.org/10.1155/2010/181806 |
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| _version_ | 1850175288829280256 |
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| author | Axel Müller Johannes Schweizer Thomas M. Helms Micheal Oeff Claudia Sprenger Christian Zugck |
| author_facet | Axel Müller Johannes Schweizer Thomas M. Helms Micheal Oeff Claudia Sprenger Christian Zugck |
| author_sort | Axel Müller |
| collection | DOAJ |
| description | The great epidemiological significance and costs associated with chronic heart failure pose a challenge to health systems in Western industrial countries. In the past few years, controlled randomised studies have shown that patients with chronic heart failure benefit from telemedical monitoring; specifically, telemonitoring of various vital parameters combined with a review of the symptoms, drug compliance and patient education. In Germany, various telemedical monitoring projects for patients with chronic heart failure have been initiated in the past few years; seven of them are presented here. Currently 7220 patients are being monitored in the seven selected projects. Most patients (51.1%) are in NYHA stage II, 26.3% in NYHA stage III, 14.5% in NYHA stage I and only 6.6% in NYHA stage IV respectively. Most projects are primarily regional. Their structure of telemedical monitoring tends to be modular and uses stratification according to the NYHA stages. All projects include medical or health economics assessments. The future of telemedical monitoring projects for patients with chronic heart failure will depend on the outcome of these assessments. Only of there is statistical evidence for medical benefit to the individual patient as well as cost savings will these projects continue. |
| format | Article |
| id | doaj-art-ceb3d1f8db804e59a376868a8bed3aeb |
| institution | OA Journals |
| issn | 1687-6415 1687-6423 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Telemedicine and Applications |
| spelling | doaj-art-ceb3d1f8db804e59a376868a8bed3aeb2025-08-20T02:19:30ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232010-01-01201010.1155/2010/181806181806Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in GermanyAxel Müller0Johannes Schweizer1Thomas M. Helms2Micheal Oeff3Claudia Sprenger4Christian Zugck5Clinic of Internal Medicine, Chemnitz Hospital, Bürgerstraße 2, 09113 Chemnitz, GermanyClinic of Internal Medicine, Chemnitz Hospital, Bürgerstraße 2, 09113 Chemnitz, GermanyGerman Foundation for the Chronically III, Alexanderstraße 26, 90762 Fürth, GermanyDepartment of Internal Medicine I. Cardiology, Pulmonology, and Angiology, Municipal Hospital Brandenburg, Hochstraße 29, 14770 Brandenburg, GermanyDepartment of Internal Medicine I. Cardiology, Pulmonology, and Angiology, Municipal Hospital Brandenburg, Hochstraße 29, 14770 Brandenburg, GermanyDepartment of Internal Medicine III (Cardiology, Angiology, and Pneumology), University Medical Clinic, Im Neuenheimer Feld 410, 69120 Heidelberg, GermanyThe great epidemiological significance and costs associated with chronic heart failure pose a challenge to health systems in Western industrial countries. In the past few years, controlled randomised studies have shown that patients with chronic heart failure benefit from telemedical monitoring; specifically, telemonitoring of various vital parameters combined with a review of the symptoms, drug compliance and patient education. In Germany, various telemedical monitoring projects for patients with chronic heart failure have been initiated in the past few years; seven of them are presented here. Currently 7220 patients are being monitored in the seven selected projects. Most patients (51.1%) are in NYHA stage II, 26.3% in NYHA stage III, 14.5% in NYHA stage I and only 6.6% in NYHA stage IV respectively. Most projects are primarily regional. Their structure of telemedical monitoring tends to be modular and uses stratification according to the NYHA stages. All projects include medical or health economics assessments. The future of telemedical monitoring projects for patients with chronic heart failure will depend on the outcome of these assessments. Only of there is statistical evidence for medical benefit to the individual patient as well as cost savings will these projects continue.http://dx.doi.org/10.1155/2010/181806 |
| spellingShingle | Axel Müller Johannes Schweizer Thomas M. Helms Micheal Oeff Claudia Sprenger Christian Zugck Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in Germany International Journal of Telemedicine and Applications |
| title | Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in Germany |
| title_full | Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in Germany |
| title_fullStr | Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in Germany |
| title_full_unstemmed | Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in Germany |
| title_short | Telemedical Support in Patients with Chronic Heart Failure: Experience from Different Projects in Germany |
| title_sort | telemedical support in patients with chronic heart failure experience from different projects in germany |
| url | http://dx.doi.org/10.1155/2010/181806 |
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