Telemed J E Health - Program evaluation of remote heart failure monitoring: healthcare utilization analysis in a rural regional medical center.

Tópicos

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Resumo

CKGROUND: Remote monitoring for heart failure (HF) has had mixed and heterogeneous effects across studies, necessitating further evaluation of remote monitoring systems within specific healthcare systems and their patient populations. "Care Beyond Walls and Wires," a wireless remote monitoring program to facilitate patient and care team co-management of HF patients, served by a rural regional medical center, provided the opportunity to evaluate the effects of this program on healthcare utilization.MATERIALS AND METHODS: Fifty HF patients admitted to Flagstaff Medical Center (Flagstaff, AZ) participated in the project. Many of these patients lived in underserved and rural communities, including Native American reservations. Enrolled patients received mobile, broadband-enabled remote monitoring devices. A matched cohort was identified for comparison.RESULTS: HF patients enrolled in this program showed substantial and statistically significant reductions in healthcare utilization during the 6 months following enrollment, and these reductions were significantly greater compared with those who declined to participate but not when compared with a matched cohort.CONCLUSIONS: The findings from this project indicate that a remote HF monitoring program can be successfully implemented in a rural, underserved area. Reductions in healthcare utilization were observed among program participants, but reductions were also observed among a matched cohort, illustrating the need for rigorous assessment of the effects of HF remote monitoring programs in healthcare systems.

Resumo Limpo

ckground remot monitor heart failur hf mix heterogen effect across studi necessit evalu remot monitor system within specif healthcar system patient popul care beyond wall wire wireless remot monitor program facilit patient care team comanag hf patient serv rural region medic center provid opportun evalu effect program healthcar utilizationmateri method fifti hf patient admit flagstaff medic center flagstaff az particip project mani patient live underserv rural communiti includ nativ american reserv enrol patient receiv mobil broadbanden remot monitor devic match cohort identifi comparisonresult hf patient enrol program show substanti statist signific reduct healthcar util month follow enrol reduct signific greater compar declin particip compar match cohortconclus find project indic remot hf monitor program can success implement rural underserv area reduct healthcar util observ among program particip reduct also observ among match cohort illustr need rigor assess effect hf remot monitor program healthcar system

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