Follow-up and treatment of an instable patient with heart failure using telemonitoring and a computerised disease management system
| Autor: | Rene B. van Dijk, Wendy Bedijn, Martje H. L. van der Wal, Richard M. de Jong, Trijntje Jaarsma, Arjen E. de Vries, Hans L. Hillege |
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| Přispěvatelé: | Life Course Epidemiology (LCE), Cardiovascular Centre (CVC), Groningen Kidney Center (GKC) |
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Delayed Diagnosis Time Factors decision support Myocardial Infarction Heart failure GUIDELINES Severity of Illness Index PROGRAMS Severity of illness Health care medicine Humans Outpatient clinic Disease management (health) Intensive care medicine METAANALYSIS Monitoring Physiologic Netherlands Advanced and Specialized Nursing OUTCOMES business.industry MORTALITY telemonitoring Workload Middle Aged CARE medicine.disease Telemedicine Medical–Surgical Nursing Regimen disease management READMISSION RATES Therapy Computer-Assisted Patient Compliance Myocardial infarction complications Medical emergency Cardiology and Cardiovascular Medicine business Case Management Follow-Up Studies |
| Zdroj: | European Journal of Cardiovascular Nursing, 11(4), 432-438. SAGE Publications Inc. |
| ISSN: | 1474-5151 |
| Popis: | In the last decades, the introduction of information and communication technology (ICT) in healthcare promised an improved quality of care while reducing workload and improving cost-effectiveness. This might be realised by the use of computer guided decision support systems and telemonitoring. This case study describes the process of care of a patient with chronic heart failure, who was treated with a computerised disease management system in combination with telemonitoring. With the help of these appliances, we think we were probably able to prevent at least two readmissions for heart failure in a period of 10 months.We also gained more insight into patient's behaviour with regards to compliance with the heart failure regimen at home. Frequent contact at distance and the online availability of physiological measurements at home facilitated patient tailored education and helped the patient to react adequately to symptoms of deterioration. Additionally, up-titration of heart failure medication was performed without contacting the patient at the outpatient clinic. |
| Databáze: | OpenAIRE |
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