Key result
Telehealth implementation in heart failure management reduces treatment costs, improves patient health status and quality of life, and decreases the frequency of hospital readmissions.
Why the study?
Heart failure recurrence causes rehospitalization, necessitating prevention strategies that reduce mortality and recurrence by minimizing physical contact, such as telehealth.
Does telehealth improve health status, quality of life, and reduce costs in patients with heart failure?
Systematic Review (n=9)
Does telehealth improve health status, quality of life, and reduce costs in patients with heart failure?
Telehealth implementation in heart failure management may reduce treatment costs and improve patient health status and quality of life.
Answers are grounded in this paper and cite their sources.
Telehealth may lower HF rehospitalizations and costs; reinforces Level 1 evidence supporting remote care integration into standard management.
A recurrence of heart failure can lead to rehospitalization. Therefore, it is necessary to have a prevention strategy that aims to reduce mortality and the recurrence of heart failure by minimizing physical contact. Telehealth is an alternative for providing health services to heart failure patients by minimizing mobilization and treatment costs. This research aimed to evaluate the effectiveness of implementing telehealth in the management and care of patients with heart failure. This study used the systematic review method. There were four stages in this study, namely identifying sources, determining eligibility, screening, and deciding which to be reviewed. Literature selection used the PRISMA approach from 4 databases such as ScienceDirect, Google Scholar, PubMed, and Scopus, with inclusion criteria including articles with a period of less than 5 years (2018-2023), free full text, article reviews, and articles using English and Indonesia. Searching results from 4 databases found 43,846 articles. After screening based on the specified criteria, there were 9 articles reviewed. Of the 9 articles, there were 3 that stated that telehealth can reduce the cost of treating heart failure. 3 articles stated that the health status of heart failure patients improved when using the telehealth system. 2 articles stated that telehealth can be implemented by telephone or nursing telephone support to monitor the condition of heart failure patients remotely. Another article stated that telehealth can improve the quality of life of patients with heart failure. It is necessary to implement telehealth in health services to reduce the frequency of readmissions and to make it easier for health workers to monitor patients, especially those with heart failure.
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Gustian et al. (2023) conducted a systematic review in Heart failure (n=9). Telehealth vs. Usual care was evaluated on Effectiveness of telehealth (cost, health status, quality of life, readmission). Telehealth implementation in heart failure management reduces treatment costs, improves patient health status and quality of life, and decreases the frequency of hospital readmissions.
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