Gensini Gian Franco, Alderighi Camilla, Rasoini Raffaele, Mazzanti Marco, Casolo Giancarlo
Digital SIT (Italian Telemedicine Society).
Fiorentino Institute of Care and Assistance (IFCA),Florence, Italy.
Card Fail Rev. 2017 Nov;3(2):116-121. doi: 10.15420/cfr.2017:6:2.
The use of telemonitoring and telemedicine is a relatively new but quickly developing area in medicine. As new digital tools and applications are being created and used to manage medical conditions such as heart failure, many implications require close consideration and further study, including the effectiveness and safety of these telemonitoring tools in diagnosing, treating and managing heart failure compared to traditional face-to-face doctor-patient interaction. When compared to multidisciplinary intervention programs which are frequently hindered by economic, geographic and bureaucratic barriers, non-invasive remote monitoring could be a solution to support and promote the care of patients over time. Therefore it is crucial to identify the most relevant biological parameters to monitor, which heart failure sub-populations may gain real benefits from telehealth interventions and in which specific healthcare subsets these interventions should be implemented in order to maximise value.
远程监测和远程医疗的应用在医学领域是一个相对较新但发展迅速的领域。随着新的数字工具和应用程序不断被创建并用于管理诸如心力衰竭等医疗状况，许多问题需要密切关注并进一步研究，包括与传统面对面医患互动相比，这些远程监测工具在诊断、治疗和管理心力衰竭方面的有效性和安全性。与经常受到经济、地理和官僚障碍阻碍的多学科干预项目相比，非侵入性远程监测可能是一种长期支持和促进患者护理的解决方案。因此，确定最相关的生物参数进行监测、哪些心力衰竭亚群体可能从远程医疗干预中真正受益，以及这些干预应在哪些特定的医疗保健子集中实施以实现价值最大化至关重要。
