Health Technology Assessment of Home Monitoring for the Continuity of Care of patient suffering from congestive heart failure.

摘要

The method of Health Technology Assessment (HTA) has been applied to assess the effectiveness and the efficacy of Home Monitoring (HM) as model of continuity of care for patient suffering from congestive heart failure (CHF). We compare HM to other model of care: ambulatory follow-up (benchmark) and Disease Management Programs (DMP). The results lead to conclude that HM is more effective and efficient if compared to the benchmark, but seems to be not cost-effective if compared to DMPs. This conclusion changes when pervasive remote processing is applied to the monitored parameters with the aim to precociously predict critical events. In this case HM seems to be more effective and efficient than the other models of continuity of care.