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[心力衰竭的远程医疗护理概念:现状与未来]

[Telemedical care concepts for heart failure: status and future].

作者信息

Koehler F, Hiddemann M, Koehler M, Koehler K, Spethmann S, Kaas T, Zippel-Schultz B, Helms T M

机构信息

Deutsches Herzzentrum der Charité, Arbeitsbereich Kardiovaskuläre Telemedizin, Charitéplatz 1, 10117, Berlin, Deutschland.

Charité-Universitätsmedizin Berlin, Medizinische Fakultät der Freien Universität Berlin und der Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.

出版信息

Herz. 2024 Oct;49(5):342-349. doi: 10.1007/s00059-024-05266-x. Epub 2024 Aug 27.

Abstract

Telemedical care concepts provide opportunities to improve the care of patients with chronic heart failure (CHF). The current state of telemedical technologies enables the effective monitoring of the disease. Germany is one of the first European countries with an entitlement to telemedical supporting care for CHF patients. The decision of the German Federal Joint Committee in 2020 to introduce telemedical supporting care for CHF patients marks a milestone. For the first time, a digital care procedure was included in the benefits catalogue of the statutory health insurance funds due to its proven benefits in terms of morbidity and mortality. Privately insured CHF patients have been entitled to these benefits since January 2024. Future developments, particularly with respect to artificial intelligence procedures in telemedicine, are promising but require more evidence. Further research, technological innovation and supportive policy frameworks are needed to realize the full potential of these approaches. Continued collaboration between healthcare professionals, technology developers and policy makers will be crucial in sustainably improving the care of heart failure patients with telemedicine.

摘要

远程医疗护理概念为改善慢性心力衰竭(CHF)患者的护理提供了机会。当前远程医疗技术的发展状况能够实现对该疾病的有效监测。德国是首批有权为CHF患者提供远程医疗支持护理的欧洲国家之一。2020年德国联邦联合委员会决定为CHF患者引入远程医疗支持护理,这标志着一个里程碑。由于其在发病率和死亡率方面已被证实的益处,一种数字护理程序首次被纳入法定医疗保险基金的福利目录。自2024年1月起,私人投保的CHF患者也有权享受这些福利。未来的发展,特别是远程医疗中人工智能程序方面,前景广阔,但需要更多证据支持。需要进一步的研究、技术创新和支持性政策框架,以充分发挥这些方法的潜力。医疗专业人员、技术开发者和政策制定者之间的持续合作对于通过远程医疗可持续地改善心力衰竭患者的护理至关重要。

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