Article Text
Primary health care
Cochrane systematic review
Telemonitoring or structured telephone support for people with chronic heart failure reduces CHF-related hospital admissions; telemonitoring also reduces all-cause mortality
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Disease management for patients with heart failure
Chronic heart failure is common. Management is complex, and patients require regular professional monitoring and follow-up as well as support for self-care. There is good evidence for disease-management programmes through home or clinic visits,1 and such programmes are recommended in international guidelines.2 However, heart failure predominately affects the older people, and their limited mobility and lack of social support may make hospital clinic attendance problematic. Home visits may bridge this gap but are costly in …