https://scholars.lib.ntu.edu.tw/handle/123456789/595809
標題: | Assessment of the clinical outcomes and cost-effectiveness of the management of systolic heart failure in Chinese patients using a home-based intervention | 作者: | YING-HSIEN CHEN YI-LWUN HO HUI-CHUN HUANG Wu H.-W. Lee C.-Y. Hsu T.-P. Cheng C.-L. MING-FONG CHEN |
關鍵字: | 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 | 公開日期: | 二月-2010 | 出版社: | Northampton, Eng., Cambridge Medical Publications ltd. | 卷: | 38 | 期: | 1 | 起(迄)頁: | 242 | 來源出版物: | The Journal of international medical research | 摘要: | 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 https://www.scopus.com/record/display.uri?eid=2-s2.0-77749252447&doi=10.1177%2f147323001003800129&origin=inward&txGid=90a9f760c88286ac21eb6fbaedb7ea45 |
ISSN: | 0300-0605 | DOI: | 10.1177/147323001003800129 | SDG/關鍵字: | 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 |
顯示於: | 醫學系 |
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