Background: The aim of this study was to assess by a census supported by the Italian Society of Cardiology (Società Italiana di Cardiologia, SIC) the present implementation of telemedicine in the field of cardiovascular disease in Italy. Methods: A dedicated questionnaire was sent by email to all the members of the SIC: data on telemedicine providers, service provided, reimbursement, funding and organisational solutions were collected and analysed. Results: Reported telemedicine activities were mostly stable and public hospital based, focused on acute cardiovascular disease and prehospital triage of suspected acute myocardial infarction (prehospital ECG, always interpreted by a cardiologist and not automatically reported by computerised algorithms). Private companies delivering telemedicine services in cardiology (ECGs, ambulatory ECG monitoring) were also present. In 16% of cases, ECGs were also delivered through pharmacies or general practitioners. ICD/CRT-D remote control was performed in 42% of cases, heart failure patient remote monitoring in 37% (21% vital parameters monitoring, 32% nurse telephone monitoring). Telemedicine service was public in 74% of cases, paid by the patient in 26%. About half of telemedicine service received no funding, 17% received State and/or European Union funding. Conclusions: Several telemedicine activities have been reported for the management of acute and chronic cardiovascular disease in Italy. The whole continuum of cardiovascular disease is covered by telemedicine solutions. A periodic census may be useful to assess the implementation of guidelines recommendations on telemedicine.

Brunetti, N., Molinari, G., Acquistapace, F., Zimotti, T., Parati, G., Indolfi, C., et al. (2020). 2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: A report from the working group on telecardiology and informatics. OPEN HEART, 7(1) [10.1136/openhrt-2019-001157].

2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: A report from the working group on telecardiology and informatics

Parati, Gianfranco;Carugo, Stefano
2020

Abstract

Background: The aim of this study was to assess by a census supported by the Italian Society of Cardiology (Società Italiana di Cardiologia, SIC) the present implementation of telemedicine in the field of cardiovascular disease in Italy. Methods: A dedicated questionnaire was sent by email to all the members of the SIC: data on telemedicine providers, service provided, reimbursement, funding and organisational solutions were collected and analysed. Results: Reported telemedicine activities were mostly stable and public hospital based, focused on acute cardiovascular disease and prehospital triage of suspected acute myocardial infarction (prehospital ECG, always interpreted by a cardiologist and not automatically reported by computerised algorithms). Private companies delivering telemedicine services in cardiology (ECGs, ambulatory ECG monitoring) were also present. In 16% of cases, ECGs were also delivered through pharmacies or general practitioners. ICD/CRT-D remote control was performed in 42% of cases, heart failure patient remote monitoring in 37% (21% vital parameters monitoring, 32% nurse telephone monitoring). Telemedicine service was public in 74% of cases, paid by the patient in 26%. About half of telemedicine service received no funding, 17% received State and/or European Union funding. Conclusions: Several telemedicine activities have been reported for the management of acute and chronic cardiovascular disease in Italy. The whole continuum of cardiovascular disease is covered by telemedicine solutions. A periodic census may be useful to assess the implementation of guidelines recommendations on telemedicine.
Articolo in rivista - Articolo scientifico
delivery of care; public health; quality of care and outcomes;
delivery of care; public health; quality of care and outcomes
English
Online issue publication March 17, 2020
Brunetti, N., Molinari, G., Acquistapace, F., Zimotti, T., Parati, G., Indolfi, C., et al. (2020). 2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: A report from the working group on telecardiology and informatics. OPEN HEART, 7(1) [10.1136/openhrt-2019-001157].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/266266
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