Assessment of the Clinical Outcomes and Cost-effectiveness of the Management of Systolic Heart Failure in Chinese Patients Using a Home-based Intervention

作者：Chen Y H; Ho Y L; Huang H C; Wu H W; Lee C Y; Hsu T P; Cheng C L; Chen M F^*

来源：Journal of International Medical Research, 2010, 38(1): 242-252.

• HEART FAILURE
• CHINESE PATIENTS
• DISEASE MANAGEMENT
• SPECIALIST-LED TELEPHONE CONSULTATION
• HOME-BASED MEDICAL INTERVENTION
• HOSPITALIZATION
• COSTS

This study was designed to assess the clinical effect of a home-based telephone intervention in Chinese heart failure patients. A total of 550 Chinese heart failure patients were enrolled into either (i) a group that received the usual standard of care (UC group); or (ii) a group that received a home-based heart failure centre management programme using nursing specialist-led telephone consultations (HFC group). The impact of the home-based intervention on admission rate, admission length and medical costs over 6 months was measured. Although the mean left ventricular ejection fraction in HFC patients was 29.3% compared with 34.8% in UC patients, the home-based intervention resulted in a significantly lower all-cause admission rate per person (HFC 0.60 +/- 0.77 times/person; UC 0.96 +/- 0.85 times/person), a shorter all-cause hospital stay (reduced by 8 days per person) and lower total 6-month medical costs (reduced by US$2682 per patient). These results suggest that the home-based intervention with nursing specialist-led telephone consultations may improve the clinical outcome and provide cost-savings for Chinese patients with heart failure.

• 出版日期2010-2