How effective is structured telephone support or telemonitoring for patients with chronic heart failure (HF)?
Although a reduction in the proportion of participants with an allcause or chronic HF-related hospitalisation was observed, the review did not identify a consistent impact of structured telephone support or telemonitoring on length of stay for such admissions. Length of stay was inconsistently reported, thus preventing metaanalysis of this outcome.
In the context of limited health funding, and a rapidly expanding population of older patients with chronic HF, it is increasingly difficult for healthcare systems to provide high-quality care to patients with chronic HF. Multidisciplinary specialist HF clinics are available only to a minority of patients and do not have the capacity for frequent patient review. Patients may be unwilling or unable to attend frequent clinic appointments due to disability or financial and transport constraints. Structured telephone support and telemonitoring can provide specialised HF care to a large number of patients with limited access to healthcare services.