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Comment & Response |

Telemedicine in Heart Failure—Ineffective or Just Ill Used?

Maulik D. Majmudar, MD1,2; Timothy Dy Aungst, PharmD3
[+] Author Affiliations
1Healthcare Transformation Lab, Massachusetts General Hospital, Boston
2Harvard Medical School, Boston, Massachusetts
3Massachusetts College of Pharmacy and Health Sciences University, Worcester
JAMA Intern Med. 2016;176(7):1035. doi:10.1001/jamainternmed.2016.2857.
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To the Editor The promise of digital technology as a disruptive force in health care has led to companies flooding the marketplace with mobile applications and “smart” connected devices as adjuncts to traditional care modalities. While the hype behind such innovative technologies is genuine, their effect on health care costs, quality, and patient outcomes are yet to be proven. Many digital health experts have championed targeting high-cost chronic diseases like heart failure (HF) as a way to leverage digital health solutions to improve health care value. However, the article by Ong and colleagues1 published in a recent issue of JAMA Internal Medicine demonstrated that the use of remote patient monitoring interventions may not be sufficient to decrease readmissions rates in the HF population.1 However, as indicated by the authors, a major limitation may be the technology and integration itself.

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July 1, 2016
Claudio Pedone, MD, PhD, MPH; Raffaele Antonelli Incalzi, MD
1Department of Geriatrics, Campus Bio-Medico University of Rome, Rome, Italy
JAMA Intern Med. 2016;176(7):1034-1035. doi:10.1001/jamainternmed.2016.2854.
July 1, 2016
Michael K. Ong, MD, PhD; Patrick S. Romano, MD, MPH; Gregg C. Fonarow, MD
1Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles2Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, California
3Department of Internal Medicine, University of California, Davis, Davis4Department of Pediatrics, University of California, Davis, Davis
1Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles
JAMA Intern Med. 2016;176(7):1035-1036. doi:10.1001/jamainternmed.2016.2860.
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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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