Result card

  • TEC8: What material investments are needed to use Structured telephone support (STS) for adult patients with chronic heart failure?
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What material investments are needed to use Structured telephone support (STS) for adult patients with chronic heart failure?

Authors: Ingrid Wilbacher, Valentina Prevolnik Rupel

Internal reviewers: Alessandra LoScalco, Antonio Migliore, Christina Mototolea, Silvia Gabriela Scintee

  • We used information provided by the studies {25},{29},{17},{5},{26},{20} of the basic literature search.
  • We used the table of different telemonitoring appraoches and linked suggested needs for material investments in a qualitative way due to our best knoewledge.

Despite the implantable devices, further materials are needed for telemonitoring/ telemedicine:

Patients home

-patient near unit (funk transmission)

-telephone/ cell phone with telephone line

-scale

-camera

-PC with internet

Data transfer

-Secure data sending line (internet)

-Telephone line

-Secured technical interoperability/ adaptiveness

Receiver of data/ care center/ nurse

-PC, software

-Telephone

-Usual office infrastructure

-Ev. car for home visits

There is a need for further research in knowledge representation, and the used data analysis methods. Current barriers for adaptation include uncertainty about the response protocols, payment systems, and prescribing protocols. {29}

Telemonitoring involves transmission of physiological data…from a measuring device (self measuring or data input manually) to a central server. The transmission works via telephone, satellite, or broadband capabilities, and the interpretation is done by the health care team. More complex information technology infrastructure is required to facilitate telemonitoring as opposed to a simple telephone call, which might limit the extent to which telemonitoring can be made available for heart failure patients to access. Several studies show that even a required IT infrastructure is not limiting the use and implementation of telemonitoring. {17}.

In most of the studies a domestic telephone line or cell phones were used for data transmission {44}, {41}{25}

A trial from Argentina indicate both the relevance and the capacity to implement telemonitoring interventions in middle-income countries. India and China both expect to find technological solutions to healthcare delivery problems, and telemonitoring is an attractive option. {5}{26}{20}

 

material needed

 

 

 

telemedical intervention

patient home

data transfer

receiver/ care provider

fluid status monitoring

patient near unit, scale

secure data sending line (internet, telephone)

data receiver, PC, software

register heart rate, body temperature, patient activity,

patient near unit

secure data sending line (internet, telephone)

data receiver, PC, software

patient education

leaflets

 

training courses

self-care supportive strategies

leaflets

 

training courses

monitoring and (daily) transmission of vital parameters and weight

patient near unit, scale

secure data sending line (internet, telephone)

data receiver, PC, software

telephone-follow up

telephone

telephone line

telephone, PC

home-visits

 

 

transport system (car), documentation device (PC)

remote consultation with a nurse by video-camera

camera

secure data sending line (internet)

camera, checkpoint infrastructure

weigh daily and respond to questions concerning heart failure symptoms

scale, telephone or PC for internet contact

secure data sending line (internet, telephone)

data receiver, PC, software

daily data-transfer to a secure Internet site

patient near device

secure data sending line (internet, telephone)

data receiver, PC, software

response to questions from a computerized interactive voice response system

telephone, PC

secure data sending line (internet, telephone)

data receiver, PC, software

medication management (adherence)

telephone, patient near device

secure data sending line (internet, telephone)

checkpoint/ organisation infrastructure

fluid management (adherence)

scale, telephone or PC for internet contact

secure data sending line (internet, telephone)

checkpoint/ organisation infrastructure

problem solving

telephone

telephone line

nurse-checkpoint infrastructure

structured telephone support

telephone

telephone line

nurse-checkpoint infrastructure

human-to-human contact (HH) or human-to-machine interface (HM)

telephone, PC

ev secure data sending line (internet, telephone)

transport system (car) or data receiver, PC, software or nurse-checkpoint infrastructure

home visiting

 

 

 transport system (car)

 

Important
Completely
Wilbacher I, Rupel V Result Card TEC8 In: Wilbacher I, Rupel V Description and technical characteristics of 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

References