Who should pay for home monitoring of heart failure?
Despite the recent advancement in medical therapy for heart failure, morbidity associated with heart failure continues to be excessive, with rising hospitalization rates and costs. Disease management models have been instituted successfully for several chronic disease states, and observational trials have shown different models to be beneficial. A multidisciplinary approach to management of heart failure improves outcomes. Multiple recent trials involving various models of integrated and comprehensive disease management have demonstrated promising results, such as reduction in mortality and hospitalizations. Future models for disease monitoring may include implantable devices that directly monitor hemodynamics combined with multidisciplinary care.
Adams
Monica Colvin
MC
University of Minnesota, Cardiovascular Division, 420 Delaware Street SE, MMC 508, Minneapolis, MN 55416, USA. colvi005@umn.edu
Ali
Syed Sohail
SS
D019468:Disease Management; D004567:Electrodes, Implanted; D006333:Heart Failure / Q000191:economics* / Q000628:therapy*; D006353:Heart-Assist Devices; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D018670:Monitoring, Ambulatory / Q000191:economics*; D017216:Telemedicine; D013689:Telephone; D014481:United States