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1.
Herz ; 49(5): 342-349, 2024 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-39191939

RESUMO

Telemedical care concepts provide opportunities to improve the care of patients with chronic heart failure (CHF). The current state of telemedical technologies enables the effective monitoring of the disease. Germany is one of the first European countries with an entitlement to telemedical supporting care for CHF patients. The decision of the German Federal Joint Committee in 2020 to introduce telemedical supporting care for CHF patients marks a milestone. For the first time, a digital care procedure was included in the benefits catalogue of the statutory health insurance funds due to its proven benefits in terms of morbidity and mortality. Privately insured CHF patients have been entitled to these benefits since January 2024. Future developments, particularly with respect to artificial intelligence procedures in telemedicine, are promising but require more evidence. Further research, technological innovation and supportive policy frameworks are needed to realize the full potential of these approaches. Continued collaboration between healthcare professionals, technology developers and policy makers will be crucial in sustainably improving the care of heart failure patients with telemedicine.


Assuntos
Previsões , Insuficiência Cardíaca , Telemedicina , Insuficiência Cardíaca/terapia , Telemedicina/tendências , Humanos , Alemanha , Inteligência Artificial/tendências
2.
Herzschrittmacherther Elektrophysiol ; 30(3): 298-305, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31410560

RESUMO

The specification of standard operating procedures (SOPs) is a basic requirement for a successful implementation of telemonitoring with implanted cardiac devices and with external measuring devices in patients with heart failure, cardiac arrhytmia or increased risk of sudden cardiac death. The following article summarizes the possibilities of telemonitoring from a technical and organizational point of view and descibes basic requirements on SOPs. these basic requirements should be further specified and anchored in the organizational structure of the individual telemonitoring concept. Moreover, they should de understood as a basic guideline fpr the actions of telemonitoring center (TMC) employees.


Assuntos
Arritmias Cardíacas , Insuficiência Cardíaca , Telemedicina , Morte Súbita Cardíaca , Humanos
3.
Herzschrittmacherther Elektrophysiol ; 30(3): 287-297, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31278607

RESUMO

The position paper of the working group 33/Telemonitoring in the German Society for Cardiology e. V. (DGK) discusses the importance of digital solutions in the German health care system and highlights the application possibilities and potentials of telemonitoring in the treatment of patients with cardiac diseases. In addition to telemonitoring of acute ischaemic diseases, acute coronary syndrome and acute cardiac arrhythmias, telemonitoring of chronic cardiac diseases is discussed. Chronic diseases, such as chronic heart failure, are age-associated and present society with the great challenge of providing high-quality, yet cost-efficient care to an increasing number of patients in the future. Telemonitoring offers an opportunity to meet this challenge. However, the introduction of telemonitoring and the associated changes for patients, doctors and other service providers must be accompanied by measures to ensure the acceptance of telemonitoring and the secure handling of sensitive data as well as the quality of telemonitoring services.


Assuntos
Cardiologia , Insuficiência Cardíaca , Telemedicina , Arritmias Cardíacas , Doença Crônica , Humanos
4.
Herzschrittmacherther Elektrophysiol ; 30(1): 136-142, 2019 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-30637467

RESUMO

Heart failure is one of the most common diseases. It is associated with high morbidity and mortality. Since heart failure is age-associated, the number of patients with heart failure is constantly increasing. At the same time, the imbalance between the need for treatment and the provision of care is growing. Telemonitoring/telemedicine offers patients in rural or remote areas access to high-quality health care and enables fast access to specialists. The working group 33 Telemonitoring of the German Cardiac Society describes the characteristics and possible applications of telemonitoring/telemedicine in the treatment of patients with heart failure. Furthermore, quality criteria for cardiological telemedicine centres are defined. In addition to the personnel structure of a telemedicine centre and the competencies of employees, requirements for the technical infrastructure and the management of incoming data and alarms are described.


Assuntos
Insuficiência Cardíaca , Telemedicina , Arritmias Cardíacas , Morte Súbita Cardíaca , Humanos
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