|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
|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
|Appears in Collections:||醫學系|
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