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IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns
Heart failure (HF) is the leading cause of cardiovascular morbidity and health care utilization globally. Much of the cost for HF is related to hospitalization, strategies to decrease cost need to focus on avoiding unnecessary hospital readmission. Interactive voice response (IVR) is an automated te...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474272/ https://www.ncbi.nlm.nih.gov/pubmed/36104511 http://dx.doi.org/10.1007/s10916-022-01847-7 |
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author | Ben Ismail, Esra Jaana, Mirou Sherrard, Heather MacPhee, Erika |
author_facet | Ben Ismail, Esra Jaana, Mirou Sherrard, Heather MacPhee, Erika |
author_sort | Ben Ismail, Esra |
collection | PubMed |
description | Heart failure (HF) is the leading cause of cardiovascular morbidity and health care utilization globally. Much of the cost for HF is related to hospitalization, strategies to decrease cost need to focus on avoiding unnecessary hospital readmission. Interactive voice response (IVR) is an automated telephony system that leverages existing telephone lines to monitor patients post-discharge, for early intervention. This study explores the pattern of IVR use by HF patients in the IVR program at the University of Ottawa Heart Institute (UOHI) and assesses IVR use by patients in relation to symptoms, compliance behavior, lifestyle, and hospital readmission. A total of 902 HF patients were considered; the mean age was 70 years, and 59.4% were male. Over a 12-week period of IVR use, there was an overall increase in medication adherence and a decrease in symptoms occurrence, weight gain and readmission rate. The highest and lowest compliance rates were associated with medication adherence and exercise, respectively. Overall, older, female patients from rural/community hospitals were more likely to complete the IVR calls, have less symptoms occurrence, comply with medications, weight, and lifestyle recommendations. The findings suggest that IVR system use can have a positive impact on HF patients’ management. The increased use of IVR in remote patient monitoring will allow for a cheaper and more accessible form of home monitoring. Leveraging IVR technology to support other conditions, especially during a pandemic, may be beneficial for patients to avoid unnecessary visits to the hospital and complications due to delay in seeking care. |
format | Online Article Text |
id | pubmed-9474272 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-94742722022-09-15 IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns Ben Ismail, Esra Jaana, Mirou Sherrard, Heather MacPhee, Erika J Med Syst Patient Facing Systems Heart failure (HF) is the leading cause of cardiovascular morbidity and health care utilization globally. Much of the cost for HF is related to hospitalization, strategies to decrease cost need to focus on avoiding unnecessary hospital readmission. Interactive voice response (IVR) is an automated telephony system that leverages existing telephone lines to monitor patients post-discharge, for early intervention. This study explores the pattern of IVR use by HF patients in the IVR program at the University of Ottawa Heart Institute (UOHI) and assesses IVR use by patients in relation to symptoms, compliance behavior, lifestyle, and hospital readmission. A total of 902 HF patients were considered; the mean age was 70 years, and 59.4% were male. Over a 12-week period of IVR use, there was an overall increase in medication adherence and a decrease in symptoms occurrence, weight gain and readmission rate. The highest and lowest compliance rates were associated with medication adherence and exercise, respectively. Overall, older, female patients from rural/community hospitals were more likely to complete the IVR calls, have less symptoms occurrence, comply with medications, weight, and lifestyle recommendations. The findings suggest that IVR system use can have a positive impact on HF patients’ management. The increased use of IVR in remote patient monitoring will allow for a cheaper and more accessible form of home monitoring. Leveraging IVR technology to support other conditions, especially during a pandemic, may be beneficial for patients to avoid unnecessary visits to the hospital and complications due to delay in seeking care. Springer US 2022-09-15 2022 /pmc/articles/PMC9474272/ /pubmed/36104511 http://dx.doi.org/10.1007/s10916-022-01847-7 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Patient Facing Systems Ben Ismail, Esra Jaana, Mirou Sherrard, Heather MacPhee, Erika IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns |
title | IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns |
title_full | IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns |
title_fullStr | IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns |
title_full_unstemmed | IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns |
title_short | IVR System Use by Patients with Heart Failure: Compliance and Services Utilization Patterns |
title_sort | ivr system use by patients with heart failure: compliance and services utilization patterns |
topic | Patient Facing Systems |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474272/ https://www.ncbi.nlm.nih.gov/pubmed/36104511 http://dx.doi.org/10.1007/s10916-022-01847-7 |
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