[Heart failure care in a digitalized future : A discourse on resource-sparing structures and self-determined patients].

Journal: Der Internist
Published Date:

Abstract

Digital health solutions, applications of artificial intelligence (AI) and new technologies, such as cardiac magnetic resonance imaging and cardiac human genetics are currently being validated in cardiac healthcare pathways. They show promising approaches for improving existing healthcare structures in the future by strengthening the focus on predictive, preventive and personalized medicine. In addition, the accompanying use of digital health applications will become increasingly more important in the future healthcare, especially in patients with chronic diseases. In this article, the authors describe a case of chronic heart failure (HF) as an example to provide an overview of how digitalized healthcare can be efficiently designed across sectors and disciplines in the future. Moreover, the importance of a self-determined patient management for the treatment process itself is underlined. Since HF is frequently accompanied by various comorbidities during the course of the disease that are often recognized only after a delay, the necessity for a timely simultaneous and preventive treatment of multiple comorbidities in cardiovascular diseases is emphasized. Against this background the currently separately applied disease management programs (DMP) are critically questioned. The development of a holistic DMP encompassing all indications for the treatment of chronic diseases may pave the way to a more efficient medical care system.

Authors

  • Thomas M Helms
    Deutsche Stiftung für chronisch Kranke, Fürth, Deutschland. Thomas_Helms@t-online.de.
  • Anne Köpnick
    Deutsche Stiftung für chronisch Kranke, Fürth, Deutschland.
  • Alexander Leber
    Kardiologie, Isarklinikum München, München, Deutschland.
  • Christian Zugck
    Kardiologie, Kardiologische Praxis im Steiner Thor, Straubing, Deutschland.
  • Henning Steen
    medneo, Hamburg, Deutschland.
  • Christoph Karle
    Praxis für Diagnostik Hohenlohe, Künzelsau, Deutschland.
  • Andrew Remppis
    Herz- und Gefäßzentrum Bad Bevensen, Bad Bevensen, Deutschland.
  • Bettina Zippel-Schultz
    Deutsche Stiftung für chronisch Kranke, Berlin, Deutschland.