A randomized controlled trial of telephone-supported care coordination in patients with congestive heart failure

Wootton, Richard, Gramotnev, Helen and Hailey, David (2009) A randomized controlled trial of telephone-supported care coordination in patients with congestive heart failure. Journal of Telemedicine and Telecare., 15 4: 182-186.


Author Wootton, Richard
Gramotnev, Helen
Hailey, David
Title A randomized controlled trial of telephone-supported care coordination in patients with congestive heart failure
Journal name Journal of Telemedicine and Telecare.   Check publisher's open access policy
ISSN 1357-633X
1758-1109
Publication date 2009-06
Sub-type Article (original research)
DOI 10.1258/jtt.2009.081212
Volume 15
Issue 4
Start page 182
End page 186
Total pages 5
Editor R. Wootton
Place of publication London, United Kingdom
Publisher Royal Society Medicine Press
Collection year 2010
Language eng
Subject 1199 Other Medical and Health Sciences
1005 Communications Technologies
920299 Health and Support Services not elsewhere classified
Abstract An evaluation was undertaken on the effectiveness and efficiency of care coordination as a means of delivering health services to Australian veterans with a diagnosis of congestive heart failure. The veterans participated in a randomized controlled trial of care coordination that was supported by the Department of Veterans' Affairs (DVA). Of 490 veterans who were recruited, 409 were surveyed at baseline (214 in the intervention group and 195 controls). At follow-up, 288 were surveyed (155 intervention and 133 controls). Information on cost of care and quality of life (QOL) was collected before the commencement of coordinated care and at follow-up after 12 months. Cost of care data were obtained from DVA records. Information on QOL was obtained from telephone interviews, using the Short Form (SF-12) Health Survey and the EuroQol Group EQ-5D survey. There were no significant differences in costs of care between the intervention (coordinated care) and control groups of veterans. Nor were there significant differences between the intervention and control groups in QOL measurements with either of the evaluation tools that were used. Because evidence of benefit from coordinated care may be slow to emerge in patients with chronic disease, it would be desirable for future work in this area to include long term, good quality comparative studies on selected veteran populations. Such studies should measure QOL and economic outcomes in addition to clinical indicators.
Keyword Eldery veterans
Heart failure
Telehealth
E-Health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
Centre for Online Health Publications
 
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Created: Thu, 03 Sep 2009, 07:53:03 EST by Mr Andrew Martlew on behalf of Centre for On-Line Health