The present and future of cardiological telemonitoring in Europe: a statement from seven European countries.

Journal: Herzschrittmachertherapie & Elektrophysiologie
Published Date:

Abstract

Cardiovascular diseases remain one of the leading causes of death worldwide, placing a significant burden on individuals, families and healthcare systems. Telemedicine, in particular remote monitoring of patients with cardiovascular diseases, reduces this burden as it links the continuous monitoring of the health status with individual education and adaptation of the therapy to the needs of the patients. This improves patient outcomes and facilitates access to specialised healthcare services, independent of time and distance. Furthermore, telemedicine enables improvements in efficiency and promotes patients' self-care. However, the widespread adoption of remote patient monitoring faces several hurdles. A round table of experts from seven European countries (France, Germany, Italy, Poland, Spain, the Netherlands and the United Kingdom) reviewed the current state of telemedicine within the participating countries in order to learn from each other with an impetus for European co-operation. The creation of reliable regulations, overcoming regional differences, the redefinition of roles and processes, the personalisation of healthcare services, the promotion of innovation and research, the use of artificial intelligence and, finally, the efficient management and safeguarding of healthcare data were identified as key levers for further development of telemedicine. This discussion paper emphasises the need for cross-national research activities, involving all stakeholders, such as researchers, industry and patients, to foster the integration of telemedicine in clinical pathways.

Authors

  • Thomas M Helms
    Deutsche Stiftung für chronisch Kranke, Fürth, Deutschland. Thomas_Helms@t-online.de.
  • Giuseppe Boriani
  • Hans-Peter Brunner-La Rocca
    Department of Cardiology, Maastricht University Medical Centre, School for Cardiovascular Diseases (CARIM), Maastricht, The Netherlands.
  • Cedric Klein
    Department of Cardiovascular Medicine, Lille Hospital University, Lille, France.
  • Friedrich Koehler
    Centre for Cardiovascular Telemedicine, Department of Cardiology, Angiology and Intensive Care Medicine, German Heart Center of the Charité (DHZC), Berlin, Germany.
  • Paweł Krzesiński
    Department of Cardiology and Internal Diseases Military Institute of Medicine-National Research Institute, Szaserow Street 128, 04-141, Warsaw, Poland.
  • Yannick Maaser
    German Foundation for the Chronically Ill, Berlin, Germany.
  • Anne Neumann
    German Foundation for the Chronically Ill, Berlin, Germany.
  • Jose L Merino
    La Paz University Hospital-IdiPaz, Autonoma University, Madrid, Spain.
  • Carsten Schultz
    Lehrstuhl für Technologiemanagement, Christian-Albrechts-Universität zu Kiel, Kiel, Deutschland.
  • David Jay Wright
    Department of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, UK.
  • Bettina Zippel-Schultz
    Deutsche Stiftung für chronisch Kranke, Berlin, Deutschland.
  • Gerhard Hindricks
    Department of Electrophysiology, Heart Center Leipzig at University of Leipzig, Strümpellstr. 39, 04289 Leipzig, Germany.