2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: A report from the working group on telecardiology and informatics

Natale Daniele Brunetti, Giuseppe Molinari, Flavio Acquistapace, Tecla Zimotti, Gianfranco Parati, Ciro Indolfi, Francesco Fedele, Stefano Carugo

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The aim of this study was to assess by a census supported by the Italian Society of Cardiology (Società Italiana di Cardiologia, SIC) the present implementation of telemedicine in the field of cardiovascular disease in Italy. Methods: A dedicated questionnaire was sent by email to all the members of the SIC: data on telemedicine providers, service provided, reimbursement, funding and organisational solutions were collected and analysed. Results: Reported telemedicine activities were mostly stable and public hospital based, focused on acute cardiovascular disease and prehospital triage of suspected acute myocardial infarction (prehospital ECG, always interpreted by a cardiologist and not automatically reported by computerised algorithms). Private companies delivering telemedicine services in cardiology (ECGs, ambulatory ECG monitoring) were also present. In 16% of cases, ECGs were also delivered through pharmacies or general practitioners. ICD/CRT-D remote control was performed in 42% of cases, heart failure patient remote monitoring in 37% (21% vital parameters monitoring, 32% nurse telephone monitoring). Telemedicine service was public in 74% of cases, paid by the patient in 26%. About half of telemedicine service received no funding, 17% received State and/or European Union funding. Conclusions: Several telemedicine activities have been reported for the management of acute and chronic cardiovascular disease in Italy. The whole continuum of cardiovascular disease is covered by telemedicine solutions. A periodic census may be useful to assess the implementation of guidelines recommendations on telemedicine.

Original languageEnglish
Article numbere001157
JournalOpen Heart
Volume7
Issue number1
DOIs
Publication statusPublished - Mar 17 2020

Keywords

  • delivery of care
  • public health
  • quality of care and outcomes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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