Monitoraggio remoto dei dispositivi cardiaci impiantabili: Health technology assessment

Translated title of the contribution: Health technology assessment of remote monitoring of cardiac implantable electronic devices

Renato Pietro Ricci, Emanuela Teresa Locati, Andrea Campana, Ciro Cavallaro, Massimo Giammaria, Maurizio Landolina, Maurizio Marzegalli, Donato Melissano

Research output: Contribution to journalArticlepeer-review

Abstract

Clinical follow-up of patients with cardiac implantable electronic devices is challenging because of the increasing technical complexity of devices and clinical complexity of patients. Remote monitoring (RM) offers the opportunity to optimize clinic workflow and to improve device monitoring and patient management by reducing in-hospital visits, physician and nurse time required for patient follow-up, and hospital and social costs. Continuous RM may lead to early detection of device malfunctions and clinical events, such as arrhythmias and heart failure. Early reaction may improve patient outcome. RM is easy to use and patients show a high level of acceptance and satisfaction. Implementing RM in daily practice may require changes in clinical workflow. Primary nursing-based models have demonstrated the best results. In spite of a favorable cost-benefit ratio, RM reimbursement still represents an issue in several European countries, including Italy, which limits widespread RM utilization. The fee-for-service payment approach, the global budget for device patient follow-up and/or integrated care packages for heart failure management represent the keys to introduce reimbursement and to improve patient care, while reducing healthcare costs.

Translated title of the contributionHealth technology assessment of remote monitoring of cardiac implantable electronic devices
Original languageItalian
Pages (from-to)295-303
Number of pages9
JournalGiornale Italiano di Cardiologia
Volume16
Issue number5
Publication statusPublished - May 1 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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