HerzMobil Tirol network: rationale for and design of a collaborative heart failure disease management program in Austria

Summary Heart failure (HF) is approaching epidemic proportions worldwide and is the leading cause of hospitalization in the elderly population. High rates of readmission contribute substantially to excessive health care costs and highlight the fragmented nature of care available to HF patients. Dise...

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Bibliographic Details
Published in:Wiener Klinische Wochenschrift 2014-11, Vol.126 (21-22), p.734-741
Main Authors: Von der Heidt, Andreas, Ammenwerth, Elske, Bauer, Karl, Fetz, Bettina, Fluckinger, Thomas, Gassner, Andrea, Grander, Willhelm, Gritsch, Walter, Haffner, Immaculata, Henle-Talirz, Gudrun, Hoschek, Stefan, Huter, Stephan, Kastner, Peter, Krestan, Susanne, Kufner, Peter, Modre-Osprian, Robert, Noebl, Josef, Radi, Momen, Raffeiner, Clemens, Welte, Stefan, Wiseman, Andreas, Poelzl, Gerhard
Format: Article
Language:English
Subjects:
Austria
Cooperative Behavior
Delivery of Health Care - organization & administration
Endocrinology
Gastroenterology
Heart Failure - diagnosis
Heart Failure - therapy
Humans
Internal Medicine
Medicine
Medicine & Public Health
Models, Organizational
Original Article
Pneumology/Respiratory System
Telemedicine - organization & administration
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Summary:Summary Heart failure (HF) is approaching epidemic proportions worldwide and is the leading cause of hospitalization in the elderly population. High rates of readmission contribute substantially to excessive health care costs and highlight the fragmented nature of care available to HF patients. Disease management programs (DMPs) have been implemented to improve health outcomes, patient satisfaction, and quality of life, and to reduce health care costs. Telemonitoring systems appear to be effective in the vulnerable phase after discharge from hospital to prevent early readmissions. DMPs that emphasize comprehensive patient education and guideline-adjusted therapy have shown great promise to result in beneficial long-term effects. It can be speculated that combining core elements of the aforementioned programs may substantially improve long-term cost-effectiveness of patient management. We introduce a collaborative post-discharge HF disease management program (HerzMobil Tirol network) that incorporates physician-controlled telemonitoring and nurse-led care in a multidisciplinary network approach.
ISSN:0043-5325
1613-7671
DOI:10.1007/s00508-014-0665-7