Telemedizin, Herzinsuffizienz und der ewige Glaube an die Technik

  • Thomas Kühlein
  • Marco Roos
  • Markus Beier
  • Peter Eggenwirth
  • Bettina Engel
  • Martin Scherer

Abstract

Background
Patients with the diagnosis heart failure are frequently frail and have a poor prognosis. Now medicine is confronting them with new digital technology in the form of telemedicine with the aim of a never-ending prolongation of live, in smaller and smaller amounts.

Objectives
Evaluation of the introduction of telemedicine for patients with heart failure from the perspective of primary care.

Materials and methods
Summary of the scientific and non-scientific literature of the topic in a narrative review.

Results
The evidence of telemedicine for heart failure is very extensive and heterogeneous. The benefit is hard to assess. The scientific basis of its introduction in Germany was reduced to a few studies which seem insufficient as a justification for it.

Conclusion
An uncritical belief in technology combined with a political will based on it seems to be the real driver of this introduction. Instead of dissipating resources with more and more technology in ever smaller areas, the digitally assisted improvement of documentation and communication between patients and their primary care providers and in turn the telemedical connection and support of these by specialists might be the more appropriate answer.

Bibliographical data

Translated title of the contributionA constructive-minded analysis and critique of its introduction in Germany from the primary care perspective
Original languageGerman
ISSN1433-6251
DOIs
Publication statusPublished - 2023