Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure.

Publication ,  Journal Article
Fraiche, AM; Eapen, ZJ; McClellan, MB
Published in: JACC Heart Fail
April 2017

Telehealth offers an innovative approach to improve heart failure care that expands beyond traditional management strategies. Yet the use of telehealth in heart failure is infrequent because of several obstacles. Fundamentally, the evidence is inconsistent across studies of telehealth interventions in heart failure, which limits the ability of cardiologists to make general conclusions. Where encouraging evidence exists, there are logistical challenges to broad-scale implementation as a result of insufficient understanding of how to transform telemedicine strategies into clinical practice effectively. Ultimately, when implementation is reasonable, the application of these efforts remains hampered by regulatory, reimbursement, and other policy issues. The primary aim of this paper is to describe these challenges and to outline a path forward to apply telehealth approaches to heart failure in conjunction with payment reform and pragmatic research study design.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

JACC Heart Fail

DOI

EISSN

2213-1787

Publication Date

April 2017

Volume

5

Issue

4

Start / End Page

297 / 304

Location

United States

Related Subject Headings

  • United States
  • Telemedicine
  • Reimbursement, Incentive
  • Reimbursement Mechanisms
  • Organization and Administration
  • Medicare Access and CHIP Reauthorization Act of 2015
  • Medicare
  • Humans
  • Heart Failure
  • Health Policy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Fraiche, A. M., Eapen, Z. J., & McClellan, M. B. (2017). Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure. JACC Heart Fail, 5(4), 297–304. https://doi.org/10.1016/j.jchf.2016.11.013
Fraiche, Ariane M., Zubin J. Eapen, and Mark B. McClellan. “Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure.JACC Heart Fail 5, no. 4 (April 2017): 297–304. https://doi.org/10.1016/j.jchf.2016.11.013.
Fraiche AM, Eapen ZJ, McClellan MB. Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure. JACC Heart Fail. 2017 Apr;5(4):297–304.
Fraiche, Ariane M., et al. “Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure.JACC Heart Fail, vol. 5, no. 4, Apr. 2017, pp. 297–304. Pubmed, doi:10.1016/j.jchf.2016.11.013.
Fraiche AM, Eapen ZJ, McClellan MB. Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure. JACC Heart Fail. 2017 Apr;5(4):297–304.
Journal cover image

Published In

JACC Heart Fail

DOI

EISSN

2213-1787

Publication Date

April 2017

Volume

5

Issue

4

Start / End Page

297 / 304

Location

United States

Related Subject Headings

  • United States
  • Telemedicine
  • Reimbursement, Incentive
  • Reimbursement Mechanisms
  • Organization and Administration
  • Medicare Access and CHIP Reauthorization Act of 2015
  • Medicare
  • Humans
  • Heart Failure
  • Health Policy