Appl Clin Inform - The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: a systematic review.

Tópicos

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Resumo

JECTIVE: This paper analyzes evidence of the impact of patients' adherence to pharmacological and non-pharmacological recommendations on the treatment costs of heart failure (HF) patients.METHODS: A systematic review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Papers were searched using various combinations of the following keywords: 'telemedicine', 'telemonitoring', 'telehealth', 'eHealth', 'remote monitoring', 'adherence', 'compliance', 'cost-effectiveness', 'cost-benefit', 'heart failure', 'healthcare costs', 'hospitalization', and 'drug costs'. We included only papers written in English or German, published between 1998 and 2014, and having one of our search terms in the title.RESULTS: Initially, 73 papers were selected. After a detailed review, these were narrowed done to 9 that reported an association between adherence and/or compliance and costs. However, none established a quantitative relationship between adherence and total healthcare costs.CONCLUSION: A model-based cost-effectiveness analysis that appropriately considers adherence has not been carried out so far, but is needed to fully understand the potential economic benefits of telehealth.

Resumo Limpo

jectiv paper analyz evid impact patient adher pharmacolog nonpharmacolog recommend treatment cost heart failur hf patientsmethod systemat review perform base prefer report item systemat review metaanalys prisma statement paper search use various combin follow keyword telemedicin telemonitor telehealth ehealth remot monitor adher complianc costeffect costbenefit heart failur healthcar cost hospit drug cost includ paper written english german publish one search term titleresult initi paper select detail review narrow done report associ adher andor complianc cost howev none establish quantit relationship adher total healthcar costsconclus modelbas costeffect analysi appropri consid adher carri far need fulli understand potenti econom benefit telehealth

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