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Telehealth for Patients with Heart Failure: A Review of the Clinical Effectiveness, Cost-effectiveness and Guidelines

Last updated: December 21, 2015
Project Number: RC0734-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

1.  What is the clinical evidence regarding telehealth interventions for patients with heart failure requiring cardiac care?

2.  What is the cost-effectiveness of telehealth interventions for patients with heart failure requiring cardiac care?

3.  What are the evidence-based guidelines regarding telehealth interventions for patients with heart failure requiring cardiac care?

Key Message

In general, the use of telehealth such as structured telephone support or home telemonitoring using telecommunications technologies contributed to reductions in hospitalizations and mortality, and improved quality of life and lifestyle behaviour. A limited amount of evidence on cost-effectiveness showed inconsistent findings on the cost-effectiveness of telehealth compared to usual care. In Canada, the use of a Health Lines intervention (nurses available on telephone to provide suggestions) may be more cost-effective than usual care. There were no evidence-based guidelines identified regarding telehealth interventions for patients with heart failure requiring cardiac care.