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MHealth Seminar: Making a Positive Difference to End Users mHealth in Real World Cardiac Patients: Are There Any Barriers? Josep Comín-Colet, MD, PhD Barcelona.

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Presentation on theme: "MHealth Seminar: Making a Positive Difference to End Users mHealth in Real World Cardiac Patients: Are There Any Barriers? Josep Comín-Colet, MD, PhD Barcelona."— Presentation transcript:

1 mHealth Seminar: Making a Positive Difference to End Users mHealth in Real World Cardiac Patients: Are There Any Barriers? Josep Comín-Colet, MD, PhD Barcelona Litoral Mar Integrated Heart Failure Programme IMIM (Hospital del Mar Medical Research Institute)

2 Real World Cardiac Patients The Problem Chronic Heart Failure Unmet Needs System Designed for Acute Conditons Lack of Empowerment of PatientsDelivery System Design Unplanned Interventions Fragmented Care Decision Support Clinical Information Systems Access to Specialized Care The Answer Equity & Patient Centred Care CHFProfile Preval ence Outco mes CostsQoL

3 Equity & Patient-Centred Care: Can mHealth close the Gap? Nurse Caregiver Patient Age 77 (40-94 ) Primary Care Team Empowerment Optimization 3G videoconference Coordinated Integrated care CHF Specialist telemonitoring 3G bluetooth Decision Support Early Intervention

4 Barrier #1 : my patients cannot use mHealth solutions 91% Preferred Mode of Follow-Up iCOR study: Telemedicine in Chronic Heart Failure ClinicalTrials.gov Identifier: NCT01495078

5 Barrier #2 : adding mHealth does not improve outcomes iCOR study: Telemedicine in Chronic Heart Failure ClinicalTrials.gov Identifier: NCT01495078 Rev Esp Cardiol. 2012;65 Supl 3 / pág.: 14

6 9.274 /patient % RR in Cost: 68,1% P-value<0.001 Costs in Barrier #3 : mHealth is not cost-effective Rev Esp Cardiol. 2012;65 Supl 3 / pág.: 307 iCOR study: Telemedicine in Chronic Heart Failure ClinicalTrials.gov Identifier: NCT01495078

7 jcomin@hospitaldelmar.cat


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