https://scholars.lib.ntu.edu.tw/handle/123456789/595809
Title: | Assessment of the clinical outcomes and cost-effectiveness of the management of systolic heart failure in Chinese patients using a home-based intervention | Authors: | YING-HSIEN CHEN YI-LWUN HO HUI-CHUN HUANG Wu H.-W. Lee C.-Y. Hsu T.-P. Cheng C.-L. Chen M.-F. |
Keywords: | Chinese patients | Costs | Disease management | Heart failure | Home-based medical intervention | Hospitalization | Specialist-led telephone consultation;Chinese patients; Costs; Disease management; Heart failure; Home-based medical intervention; Hospitalization; Specialist-led telephone consultation | Issue Date: | Feb-2010 | Publisher: | Northampton, Eng., Cambridge Medical Publications ltd. | Journal Volume: | 38 | Journal Issue: | 1 | Start page/Pages: | 242 | Source: | The Journal of international medical research | Abstract: | This study was designed to assess the clinical effect of a home-based telephone intervention in Chinese heart failure patients. A total of 550 Chinese heart failure patients were enrolled into either (i) a group that received the usual standard of care (UC group); or (ii) a group that received a home-based heart failure centre management programme using nursing specialist-led telephone consultations (HFC group). The impact of the home-based intervention on admission rate, admission length and medical costs over 6 months was measured. Although the mean left ventricular ejection fraction in HFC patients was 29.3% compared with 34.8% in UC patients, the home-based intervention resulted in a significantly lower all-cause admission rate per person (HFC 0.60 +/- 0.77 times/person; UC 0.96 +/- 0.85 times/person), a shorter all-cause hospital stay (reduced by 8 days per person) and lower total 6-month medical costs (reduced by US$2682 per patient). These results suggest that the home-based intervention with nursing specialist-led telephone consultations may improve the clinical outcome and provide cost-savings for Chinese patients with heart failure. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/595809 | ISSN: | 0300-0605 | DOI: | 10.1177/147323001003800129 | SDG/Keyword: | amiodarone; beta adrenergic receptor blocking agent; digoxin; diuretic agent; spironolactone; adult; article; Chinese; congenital heart disease; congestive cardiomyopathy; controlled study; coronary artery disease; cost effectiveness analysis; female; health care cost; heart left ventricle ejection fraction; home care; hospital admission; hospital readmission; hospitalization; human; hyperlipidemia; hypertension; major clinical study; male; myocarditis; nursing intervention; outpatient care; prospective study; smoking; systolic heart failure; teleconsultation; valvular heart disease [SDGs]SDG3 |
Appears in Collections: | 醫學系 |
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