Impact of a Telehealth and Care Management Program on All-Cause Mortality and Healthcare Utilization in Patients with Heart Failure
| العنوان: | Impact of a Telehealth and Care Management Program on All-Cause Mortality and Healthcare Utilization in Patients with Heart Failure |
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| المؤلفون: | John Jarvis, Howard G. Birnbaum, JoAnn Lindenfeld, David P. Kao, Robert L. Page, Urvi Desai, Dendy Macaulay |
| المصدر: | Telemedicine and e-Health. 22:2-11 |
| بيانات النشر: | Mary Ann Liebert Inc, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, Gerontology, Emergency Medical Services, medicine.medical_specialty, Survival, Health Informatics, Telehealth, 030204 cardiovascular system & hematology, Medicare, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Health Information Management, Health care, medicine, Humans, In patient, Prospective Studies, 030212 general & internal medicine, Mortality, Aged, Retrospective Studies, Original Research, Aged, 80 and over, Heart Failure, business.industry, Hazard ratio, Retrospective cohort study, General Medicine, Emergency department, Length of Stay, medicine.disease, Telemedicine, United States, Hospitalization, Heart failure, Chronic Disease, Emergency medicine, Female, business, All cause mortality |
| الوصف: | Background: Telehealth has the potential to improve chronic disease management and outcomes, but data regarding direct benefit of telehealth in patients with heart failure (HF) have been mixed. The objective of this study was to determine whether the Health Buddy Program (HBP) (Bosch Healthcare, Palo Alto, CA), a content-driven telehealth system coupled with care management, is associated with improved outcomes in Medicare beneficiaries with HF. Materials and Methods: This was a retrospective cohort study of 623 Medicare beneficiaries with HF offered HBP enrollment compared with a propensity score-matched control group of Medicare beneficiaries with HF from the Medicare 5% sample. Associations between availability of the HBP and all-cause mortality, hospitalization, hospital days, and emergency department visits were evaluated. Results: Beneficiaries offered enrollment in the HBP had 24.9% lower risk-adjusted all-cause mortality over 3 years of follow-up (hazard ratio [HR]=0.75; 95% confidence interval [CI], 0.63–0.89; p=0.001). Patients who used the HBP at least once (36.9%) had 57.2% lower mortality compared with matched controls (HR=0.43; 95% CI, 0.31–0.60; p |
| تدمد: | 1556-3669 1530-5627 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9a8d3a5a742a0016f8f4d464d232c908 https://doi.org/10.1089/tmj.2015.0007 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....9a8d3a5a742a0016f8f4d464d232c908 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15563669 15305627 |
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