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mHealth Seminar: Making a Positive Difference to End Users

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 ).

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mHealth Seminar: Making a Positive Difference to End Users

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  1. mHealth Seminar: Making a Positive Difference to End Users mHealth in Real WorldCardiacPatients: Are ThereAnyBarriers? Josep Comín-Colet, MD, PhD Barcelona Litoral Mar IntegratedHeartFailureProgramme IMIM (Hospital del Mar MedicalResearchInstitute)

  2. Real World Cardiac Patients The Problem Chronic Heart Failure UnmetNeeds SystemDesigned for AcuteConditons The Answer Equity & PatientCentredCare Delivery System Design Lack of Empowerment of Patients Clinical Information Systems Unplanned Interventions Fragmented Care Decision Support Access to Specialized Care

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

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

  7. jcomin@hospitaldelmar.cat

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