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Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’

BACKGROUND: The COVID pandemic has challenged the traditional methods used in care of patients with heart failure (HF). Remote management of HF patients has been recommended in order to maintain routine standards of care, but satisfaction with this platform of care is unknown. We set out to address...

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Autores principales: Kerr, Brian, Pharithi, Rebabonye B., Barrett, Matthew, Halley, Carmel, Gallagher, Joe, Ledwidge, Mark, McDonald, Kenneth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577653/
https://www.ncbi.nlm.nih.gov/pubmed/33106775
http://dx.doi.org/10.1016/j.ijcha.2020.100665
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author Kerr, Brian
Pharithi, Rebabonye B.
Barrett, Matthew
Halley, Carmel
Gallagher, Joe
Ledwidge, Mark
McDonald, Kenneth
author_facet Kerr, Brian
Pharithi, Rebabonye B.
Barrett, Matthew
Halley, Carmel
Gallagher, Joe
Ledwidge, Mark
McDonald, Kenneth
author_sort Kerr, Brian
collection PubMed
description BACKGROUND: The COVID pandemic has challenged the traditional methods used in care of patients with heart failure (HF). Remote management of HF patients has been recommended in order to maintain routine standards of care, but satisfaction with this platform of care is unknown. We set out to address the physician and patient opinion of remote management of HF during COVID-19. METHODS AND RESULTS: An observational report of the use of a Structured Telephonic assessment (STA) in stable outpatient HF patients. Physician grading of the STA was complemented by 100 randomly chosen patients to ascertain patient satisfaction and comment. 278 patients underwent a STA. Patient preference for STA was noted in 66%. Convenience was the single most cited reason for this preference (83.3%). The STA was deemed satisfactory by clinicians in 67.6%. The two-leading reasons for clinician dissatisfaction were data gaps providing a barrier to titration (55.6%) and need for clinical exam (18.9%). The annual review appointment visit subtype possessed the highest levels of satisfaction congruence amongst both clinicians and patients. CONCLUSION: In summary, this report demonstrates reasonable patient / physician satisfaction with STA, and provides some direction on how this care platform might be sustained beyond the COVID crisis.
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spelling pubmed-75776532020-10-22 Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’ Kerr, Brian Pharithi, Rebabonye B. Barrett, Matthew Halley, Carmel Gallagher, Joe Ledwidge, Mark McDonald, Kenneth Int J Cardiol Heart Vasc Original Paper BACKGROUND: The COVID pandemic has challenged the traditional methods used in care of patients with heart failure (HF). Remote management of HF patients has been recommended in order to maintain routine standards of care, but satisfaction with this platform of care is unknown. We set out to address the physician and patient opinion of remote management of HF during COVID-19. METHODS AND RESULTS: An observational report of the use of a Structured Telephonic assessment (STA) in stable outpatient HF patients. Physician grading of the STA was complemented by 100 randomly chosen patients to ascertain patient satisfaction and comment. 278 patients underwent a STA. Patient preference for STA was noted in 66%. Convenience was the single most cited reason for this preference (83.3%). The STA was deemed satisfactory by clinicians in 67.6%. The two-leading reasons for clinician dissatisfaction were data gaps providing a barrier to titration (55.6%) and need for clinical exam (18.9%). The annual review appointment visit subtype possessed the highest levels of satisfaction congruence amongst both clinicians and patients. CONCLUSION: In summary, this report demonstrates reasonable patient / physician satisfaction with STA, and provides some direction on how this care platform might be sustained beyond the COVID crisis. Elsevier 2020-10-21 /pmc/articles/PMC7577653/ /pubmed/33106775 http://dx.doi.org/10.1016/j.ijcha.2020.100665 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Paper
Kerr, Brian
Pharithi, Rebabonye B.
Barrett, Matthew
Halley, Carmel
Gallagher, Joe
Ledwidge, Mark
McDonald, Kenneth
Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’
title Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’
title_full Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’
title_fullStr Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’
title_full_unstemmed Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’
title_short Changing to remote management of a community heart failure population during COVID-19 – Clinician and patient perspectives’
title_sort changing to remote management of a community heart failure population during covid-19 – clinician and patient perspectives’
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577653/
https://www.ncbi.nlm.nih.gov/pubmed/33106775
http://dx.doi.org/10.1016/j.ijcha.2020.100665
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