The study by Chaudhry and colleagues showing that telemonitoring did not improve outcomes among patients hospitalized for heart failure has several shortcomings. In other major studies, well-designed home telemonitoring programs that used more advanced forms of technology to support patient education and health care for patients with congestive heart failure have been shown to be successful in reducing unnecessary hospitalizations. These systems require daily, real-time monitoring of physiological data, direct patient feedback and coaching, and a high level of patient−clinician interaction to achieve positive results.
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Everett, Wendy; Kvedar, Joseph C.; Nesbitt, Thomas S., N Engl J Med, 364(11), 1079; author reply 1079-1080, DOI: 10.1056/NEJMc1100395#SA3
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