Result card

  • CUR16: What is the reimbursement status of Structured telephone support (STS) for adult patients with chronic heart failure across countries?
English

What is the reimbursement status of Structured telephone support (STS) for adult patients with chronic heart failure across countries?

Authors: Ingrid Wilbacher, Nadine Berndt, Francesca Gillespie

Internal reviewers: Alessandra Lo Scalzo, Christian Vladescu, Christina Mototolea, Kristina Lampe, Maria Camerlingo

No valid method found. Theoretically every single health system (parts of Europe also with different federal situations) could be studied in details or a survey could be conducted. To get this information one has to clearly know where to look for, and whom to ask (there are maybe more than one organisations to consult for different settings).

We did not provide a survey due to time restriction of this HTA report. A valid selection of experts who know about the reimbursement details in each country or health system, the creation of a questionnaire including all relevant details about settings of STS and potential correlated services, and reduced to patients with chronic heart failure (where the definition within the studies varies) would be a separate project and exceed the ressources of this HTA.

The research on European statistical databases did not result in any information about reimbursemnet (Eurostat, OECD).

The resarch among different Eurpoean websites from healthsystems or related organisations is limited by language and if not, it often does not provide clear information about reimbursement.

No information in the included studies found.

This question is left un-answered. Due to the situation of high complexity among the use and settings within the terminus of „telemonitoring/ telemedicine“and the new or developmental status of the intervention(s) no explicit answer can be provided within this HTA.

Due to the situation of high complexity among the use and settings within the terminus of „telemonitoring/ telemedicine“ and the new or developmental status oft he intervention(s) no explicit answer can be provided.

 In Europe disease management programmes are used and reimbursed in national or regional level or within project level. Whether and how they include telemonitoring and what is reimbursed or and by whom exceeds the time-frame of this review.

It is not clear how to define „reimbursement“:

-As the payment (or reimbursement within benefit baskets/ lump sum payment, etc.) of the carers time/ effort;

-As the payment (or reimbursement within benefit baskets/ lump sum payment, etc.) of the infrastructure (computer, telephone, database, software, etc.);

-As the payment (or reimbursement within benefit baskets/ lump sum payment, etc.) of the usual care and additional telehealthcare;

-As the payment (or reimbursement within benefit baskets/ lump sum payment, etc.) of only the additional telehealthcare;

-As the payment (or reimbursement within benefit baskets/ lump sum payment, etc.) of devices;

-As the payment (or reimbursement within benefit baskets/ lump sum payment, etc.) for the data-collection and evaluation.

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Wilbacher I et al. Result Card CUR16 In: Wilbacher I et al. Health Problem and Current Use of the Technology In: Jefferson T, Cerbo M, Vicari N [eds.]. Structured telephone support (STS) for adult patients with chronic heart failure [Core HTA], Agenas - Agenzia nazionale per i servizi sanitari regionali ; 2015. [cited 16 June 2021]. Available from: http://corehta.info/ViewCover.aspx?id=305