Changes in healthcare utilisation during implementation of remote atrial fibrillation management: TeleCheck-AF project
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Changes in healthcare utilisation during implementation of remote atrial fibrillation management : TeleCheck-AF project. / Gawałko, Monika; Betz, Konstanze; Hendriks, Veerle; Hermans, Astrid N.L.; van der Velden, Rachel M.J.; Manninger, Martin; Chaldoupi, Sevasti Maria; Hoogervorst, Henk; Martens, Herm; Pluymaekers, Nikki A.H.A.; Spreeuwenberg, Marieke D.; Hendriks, Jeroen; Linz, Dominik.
In: Netherlands Heart Journal, Vol. 32, No. 3, 2024, p. 130-139.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Changes in healthcare utilisation during implementation of remote atrial fibrillation management
T2 - TeleCheck-AF project
AU - Gawałko, Monika
AU - Betz, Konstanze
AU - Hendriks, Veerle
AU - Hermans, Astrid N.L.
AU - van der Velden, Rachel M.J.
AU - Manninger, Martin
AU - Chaldoupi, Sevasti Maria
AU - Hoogervorst, Henk
AU - Martens, Herm
AU - Pluymaekers, Nikki A.H.A.
AU - Spreeuwenberg, Marieke D.
AU - Hendriks, Jeroen
AU - Linz, Dominik
N1 - Publisher Copyright: © 2024, The Author(s).
PY - 2024
Y1 - 2024
N2 - Aim: To evaluate changes in healthcare utilisation and comprehensive packages of care activities and procedures (referred in the Netherlands to as ‘diagnose-behandelcombinatie (DBC) care products) during the implementation of the TeleCheck-AF approach (teleconsultation supported by app-based heart rate/rhythm monitoring) in a Dutch atrial fibrillation (AF) clinic. Methods and results: In the Maastricht University Medical Centre+ AF Clinic, data on healthcare utilisation and DBC care products for patients consulted by both a conventional approach in 2019 and the TeleCheck-AF approach in 2020 were analysed. A patient experience survey was performed. Thirty-seven patients (median age 68 years; 40% women) were analysed. With the conventional approach, 35 face-to-face consultations and 0 teleconsultations were conducted. After the implementation of TeleCheck-AF, the number of face-to-face consultations dropped by 80% (p < 0.001) and teleconsultations increased to 45 (p < 0.001). While 42 electrocardiograms (ECGs) and 25 Holter ECGs or echocardiograms were recorded when using the conventional approach, the number of ECGs decreased by 71% (p < 0.001) and Holter ECGs or echocardiograms by 72% (p < 0.001) with the TeleCheck-AF approach. The emergency department patient presentations showed no statistically significant change (p = 0.33). Overall, 57% of medium-weight DBC care products were changed to light-weight ones during implementation of the TeleCheck-AF approach. Patient satisfaction with the TeleCheck-AF approach was high. Conclusion: The implementation of TeleCheck-AF led to a change in healthcare utilisation, a change from medium-weight to light-weight DBC care products and a reduction in patient burden. These results created the basis for a new reimbursement code for the TeleCheck-AF approach in the Netherlands.
AB - Aim: To evaluate changes in healthcare utilisation and comprehensive packages of care activities and procedures (referred in the Netherlands to as ‘diagnose-behandelcombinatie (DBC) care products) during the implementation of the TeleCheck-AF approach (teleconsultation supported by app-based heart rate/rhythm monitoring) in a Dutch atrial fibrillation (AF) clinic. Methods and results: In the Maastricht University Medical Centre+ AF Clinic, data on healthcare utilisation and DBC care products for patients consulted by both a conventional approach in 2019 and the TeleCheck-AF approach in 2020 were analysed. A patient experience survey was performed. Thirty-seven patients (median age 68 years; 40% women) were analysed. With the conventional approach, 35 face-to-face consultations and 0 teleconsultations were conducted. After the implementation of TeleCheck-AF, the number of face-to-face consultations dropped by 80% (p < 0.001) and teleconsultations increased to 45 (p < 0.001). While 42 electrocardiograms (ECGs) and 25 Holter ECGs or echocardiograms were recorded when using the conventional approach, the number of ECGs decreased by 71% (p < 0.001) and Holter ECGs or echocardiograms by 72% (p < 0.001) with the TeleCheck-AF approach. The emergency department patient presentations showed no statistically significant change (p = 0.33). Overall, 57% of medium-weight DBC care products were changed to light-weight ones during implementation of the TeleCheck-AF approach. Patient satisfaction with the TeleCheck-AF approach was high. Conclusion: The implementation of TeleCheck-AF led to a change in healthcare utilisation, a change from medium-weight to light-weight DBC care products and a reduction in patient burden. These results created the basis for a new reimbursement code for the TeleCheck-AF approach in the Netherlands.
KW - Atrial fibrillation
KW - Healthcare utilisation
KW - Mobile health
KW - Reimbursement
U2 - 10.1007/s12471-023-01836-6
DO - 10.1007/s12471-023-01836-6
M3 - Journal article
C2 - 38214880
AN - SCOPUS:85182231007
VL - 32
SP - 130
EP - 139
JO - Netherlands Heart Journal
JF - Netherlands Heart Journal
SN - 1568-5888
IS - 3
ER -
ID: 381506313