Table 1.
Selected telemedical support projects for patients with chronic heart failure in Germany.
| Project | HeiTel-Telemedicine | CorBene | Telemedicine for the Heart | Telemed Brandenburg | Partnership for the Heart | HerzAs | Pro Heart/Herzensgut |
|---|---|---|---|---|---|---|---|
| Partner | 200 GP and specialists | Cardiologists, GP hospitals, Rehabilitation facilities, Medtronic GmbH | German Foundation for the Chronically III | Cardiologists, GP, local and regional hospitals, Deutsches Herz-zentrum Berlin | Bosch Telemedicine GmbH, Intercomponent Ware AG, getemed AG, T-Mobile GmbH | BNK Westfalen-Lippe | BNK Service GmbH, KKH Allianz |
|
| |||||||
| Associate partners | AOK Baden-Württemberg | Study groups of the Betriebs-Krankenkassen NRW/Saarland | Techniker Kranke kasse | AOK Branden-burg | Barmer Ersatz-kasse | AOK Westfalen-Lippe, KVWL-Consult | |
|
| |||||||
| Telemedical provider | SHL Telemedicine Düsseldorf | Vitaphone GmbH Mannheim | Vitaphone GmbH Mannheim | TMZ Brandenburg, getemed Teltow | Telemedical center Charite Berlin, Telemedical center Robert-Bosch-Hospital Stuttgart | Institute for applied telemedicine Bad Oeynhausen | Almeda AG München |
|
| |||||||
| Start of the project | 2006.09.01 | 2005.12.01 | 2006.01.01 | 2004 | 2005.01.01 | 2008.01.01 | 2004.01.01 |
|
| |||||||
| End of the project | 2010.12.31 | unlimited | unlimited | unlimited | 2010.06.30 | unlimited | until 12/2009 |
|
| |||||||
| Number of patients | 217 | 2928 | 1100 | 300 | 710 | 420* | 1545 |
|
| |||||||
| NYHA stage I | 48 | 530 | 0 | 0 | 0 | 11 | 456 |
|
| |||||||
| NYHA stage II | 83 | 2062 | 627 | 0 | 312 | 116 | 488 |
|
| |||||||
| NYHA stage III | 85 | 302 | 429 | 195 | 398 | 174 | 317 |
|
| |||||||
| NYHA stage IV | 1 | 34 | 44 | 105 | 0 | 6 | 284 |
|
| |||||||
| Duration | 12 months | unlimited | 6–27 months | at least 1 year | 25 months | at least 1 years | 2 years |
| Transmitted parameters | Body weight, ECG/heart rate, blood pressure | Body weight, ECG/heart rate, symptoms | Body weight, heart rate, blood pressure | Body weight, ECG/heart rate, blood pressure, thorax impedance and breathing rate, oxygen saturation, symptoms | Body weight, ECG/heart rate, blood pressure physical activity, Self perceptance | Body weight, ECG/heart rate, blood pressure | Body weight, heart rate, blood pressure |
|
| |||||||
| Modular system for telemedical monitoring | yes | yes | yes | limited | yes | yes | no |
|
| |||||||
| Compliance management | yes | yes | yes | yes | yes | yes | yes |
|
| |||||||
| Patient education program | yes | yes | yes | yes | yes | yes | yes |
|
| |||||||
| Emergency management | yes | yes (24/7) | limited | yes | yes (24/7) | yes | limited |
|
| |||||||
| Medical scientific assessment | yes | yes | yes | yes | yes | yes | no |
|
| |||||||
| Health-economic assessment | yes | yes | yes | yes | yes | yes | yes |
|
| |||||||
| Further informations | http://www.klinikum.uni-heidelberg.de/ | http://www.vitaphone.de/ | http://www.dsck.de/ | http://www.tmzb.com/ | http://www.partnership-for-the-heart.de/ | http://www.hdz-nrw.de/ | http://www.almeda.com/ |
(*in 113 patients the NYHA stage was not determined).