Investment in innovative tools that promote self-care

We need

  • Evidence-based monitoring tools coupled with telephone support to be offered to appropriate patients1 in their homes
  • Training of healthcare professionals in telephone support and monitoring tools, to ensure they avoid false alerts and unnecessary hospitalisations.2

Why

  • People with heart failure have to learn to live with their condition, working alongside health professionals to understand the signs and symptoms, and self-manage their condition over time, as well as other conditions they may have.
  • Patient monitoring tools coupled with ongoing support from a trained healthcare professional (e.g. telemonitoring) may help patients monitor their body weight, heart rate and functional status to detect signs of decompensation and worsening of their condition.3
  • Although the evidence is mixed, remote monitoring tools have been shown to improve self-care, adherence to therapy, reduce hospitalisations by 21% and all-cause mortality by 20%.4

Examples of what has been done:

  • Middeke M, Goss F. Telemedizin bei chronischer Herzinsuffizienz: Die Auswahl der Patienten ist entscheidend für den Erfolg. Prävention und Gesundheitsförderung 2015;10:76-78.

  • Cleland J, Lewinter C, Goode K. Telemonitoring for heart failure: the only feasible option for good universal care? European Journal of Heart Failure 2009;11:227-28.

  • Lieback A, Proff J, Wessel K, et al. Remote monitoring of heart failure patients using implantable cardiac pacing devices and external sensors: results of the Insight-HF study. Clin Res Cardiol 2012;101:101-07.

  • Clark R, Inglis S, McAlister F, et al. Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis. BMJ 2007:1-9.

  • McMurray JJ, Adamopoulos S, Anker SD, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. European journal of heart failure 2012;14(8):803-69.

  • Ponikowski P, Anker S, AlHabib K, et al. Heart failure: preventing disease and death worldwide. : European Society of Cardiology., 2014.