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Please use this identifier to cite or link to this item: 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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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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