Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 2844
  • Home
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2017  |  Volume : 3  |  Issue : 1  |  Page : 25-35

Economic outcomes from telecardiology services


1 Center of Telemedicine and Telephrmacy, School of Pharmacy, University of Camerino, Camerino, Italy
2 Department of Cardiology, “U.Sestili” Hospital, INRCA-IRCCS, Ancona, Italy

Correspondence Address:
Milica Kaladjurdjevic
School of Pharmacy, University of Camerino, Camerino
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/digm.digm_9_17

Rights and Permissions

Background and Objectives: Owing to the scarcity of health-care financing and the pressure of aging with the associated increased incidence of chronic heart failure, new models of health-care delivery supported by technology solution require a social economic analysis. We aim to assess improvement of Kansas City Living with Cardiomyopathy Questionnaire (KCCQ) score with telehome monitoring in elderly patients affected with Chronic Heart Failure (CHF) and to estimate a probable cost saving for health-care provider and patient, by calculating a probability to reduce fatal events such as mortality and hospitalization associated with improved health status measured with the KCCQ questionnaire. Materials and Methods: An observational quasi-experimental trial was used. Eight patients affected with chronic heart failure aged 85-90 years of age who have been at least three times hospitalized within the last year were recruited for the study. These patients received an educational module to empower their self-management capacity and a medicine kit necessary for telehome monitoring. The KCCQ questionnaire was employed. The KCCQ questionnaire is an independent predictor of health-care resource utilization. The KCCQ score improvement is associated likely with rehospitalization and mortality reduction according to results from previous clinical trial, where KCCQ score has been demonstrated as a strong statistically independent predictor of mortality and rehospitalization after adjustment for other variables. Results: The KCCQ score improved for 15 points from baseline measurement, after 6 months of telehome monitoring. The improvement of KCCQ score of 15 points represents a reduction of probability of hospitalization and mortality for 18% and 16%, respectively. In addition, an individual's cost savings were calculated, using the individual's willingness to pay to avoid fatal event, individual's productivity gain by avoiding a travel to remote hospital facilities, and an improved probability of positive event with telehome monitoring. Conclusion: Analysis demonstrated a probability for an important economical saving with the use of telehome monitoring for the provider and patient. We can conclude that telehome monitoring represents an innovative service that provides clinical and economical value addition to the patient, health-care system, and society.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2913    
    Printed128    
    Emailed0    
    PDF Downloaded215    
    Comments [Add]    

Recommend this journal