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      Changing to remote management of a community heart failure population during COVID-19 – Clinician and Patient perspectives’

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          Abstract

          Background

          The COVID pandemic has challenged the traditional methods used in care of patients with heart failure (HF). Remote management of HF patients has been recommended in order to maintain routine standards of care, but satisfaction with this platform of care is unknown. We set out to address the physician and patient opinion of remote management of HF during COVID-19.

          Methods and Results

          An observational report of the use of a Structured Telephonic assessment (STA) in stable outpatient HF patients. Physician grading of the STA was complemented by 100 randomly chosen patients to ascertain patient’s satisfaction and comment. 278 patients underwent a STA. Patient preference for STA was noted in 66%. Convenience was the single most cited reason for this preference (83.3%). The STA was deemed satisfactory by clinicians in 67.6%. The two-leading reasons for clinician dissatisfaction were data gaps providing a barrier to titration (55.6%) and need for clinical exam (18.9%). The annual review appointment visit subtype possessed the highest levels of satisfaction congruence amongst both clinicians and patients.

          Conclusion

          In summary, this report demonstrates reasonable patient / physician satisfaction with STA, and providing some direction on how this care platform might be sustained beyond the COVID crisis.

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          Author and article information

          Journal
          Int J Cardiol Heart Vasc
          Int J Cardiol Heart Vasc
          International Journal of Cardiology. Heart & Vasculature
          Published by Elsevier B.V.
          2352-9067
          21 October 2020
          21 October 2020
          Affiliations
          [a ]Heart Failure Unit, St Vincent University Hospital Healthcare Group, Elm Park, Dublin 4, Ireland 1
          [b ]School of Medicine, University College Dublin, Dublin 4, Ireland 1
          Author notes
          [* ]Corresponding author at: St Vincent’s University Hospital, Elm Park, Nutley lane, Dublin 4, D04 T6F4.
          [1]

          This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation

          Article
          S2352-9067(20)30363-8 100665
          10.1016/j.ijcha.2020.100665
          7577653
          14f4c5cb-78d6-4b8b-a23d-17874d904b27
          © 2020 Published by Elsevier B.V.

          Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

          Categories
          Article

          heart failure,telemedicine,covid-19,remote patient monitoring,ara, annual review appointment,bp, blood pressure,dmp, disease management programme,f2f, face to face,gp, general practitioner,hfref, heart failure with reduced ejection fraction,hr, heart rate,hrpa, high risk patient appointment,hf, heart failure,sta, structured telephone assessment,vc, virtual consult,yrs, years

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