YING-HSIEN CHENYI-LWUN HOHUI-CHUN HUANGWu H.-W.Lee C.-Y.Hsu T.-P.Cheng C.-L.MING-FONG CHEN2022-02-272022-02-272010-020300-0605https://scholars.lib.ntu.edu.tw/handle/123456789/595809https://www.scopus.com/record/display.uri?eid=2-s2.0-77749252447&doi=10.1177%2f147323001003800129&origin=inward&txGid=90a9f760c88286ac21eb6fbaedb7ea45This 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.enChinese patients; Costs; Disease management; Heart failure; Home-based medical intervention; Hospitalization; Specialist-led telephone consultation[SDGs]SDG3journal article10.1177/147323001003800129202335362-s2.0-77749252447