What is the optimal place for heart failure treatment and care: home or hospital?

This article examines the role of home versus hospital clinic-based management of heart failure to achieve the best outcomes for affected individuals and their carer/families. It also considers the role of remote management strategies. Overall, the evidence in favor of home-based strategies is quite compelling. However, persistently high levels of heart-failure-related morbidity and mortality, combined with inconsistent application of key components of care, mandate greater efforts to develop more standardized and cost-effective forms of heart failure support services.