Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Heart failure disease management: implementation and outcomes.

David J Whellan1

  • 1Duke Clinical Research Institute, Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA. whell001@mc.duke.edu

Cardiology in Review
|August 18, 2005
PubMed
Summary

Disease management programs for heart failure improve patient care and reduce hospitalizations. Further large-scale trials are needed to assess the cost-effectiveness of these vital interventions.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Rebuilding U.S. Heart Failure Site-Based Research: A National Expert Authority Blueprint From the Heart Failure Collaboratory.

JACC. Heart failure·2026
Same author

Physical rehabilitation for older patients with acute HFpEF (REHAB-HFpEF) trial: Design and rationale.

American heart journal·2026
Same author

A multi-layered approach to elucidate mechanisms of physical function in response to rehabilitation in heart failure with preserved ejection fraction.

medRxiv : the preprint server for health sciences·2026
Same author

Circulating Biomarkers as Predictors of Improvement in Physical Function in Hospitalized Older Adults With Geriatric Syndromes: Findings From the REHAB-HF Trial.

Circulation. Heart failure·2026
Same author

Sex Differences in Efficacy of Multidomain Rehabilitation Among Older Adults With Acute HF: The REHAB-HF Trial.

JACC. Heart failure·2025
Same author

Functional Sarcopenia and Physical Rehabilitation Response in Older Adults Hospitalized for Acute Heart Failure: A Secondary Analysis of the REHAB-HF Trial.

Circulation. Heart failure·2025

Area of Science:

  • Cardiology
  • Health Services Research

Background:

  • Heart failure is a growing epidemic with significant mortality and morbidity.
  • Existing therapies to improve heart failure outcomes are underused in clinical practice.
  • Disease management interventions are being adopted to bridge this gap.

Purpose of the Study:

  • To categorize heart failure disease management interventions based on their delivery location.
  • To review and compare outcomes from randomized controlled trials of different intervention types.
  • To assess the current understanding of the economic impact and cost-effectiveness of these programs.

Main Methods:

  • Systematic review and comparison of published randomized controlled trials.
  • Categorization of interventions by location: inpatient, clinic visits, home visits, and telephone follow-up.

Related Experiment Videos

  • Analysis of reported improvements in quality of care and hospitalization rates.

    • Main Results:

    • Disease management interventions show improvements in quality of care and reduced hospitalizations for heart failure patients.
    • The economic impact and cost-effectiveness of heart failure disease management remain unclear.
    • Current reimbursement structures may disincentivize providers from offering these services.

    Conclusions:

    • Increased access to healthcare providers through disease management improves outcomes for at-risk heart failure patients.
    • Further large-scale, US-based randomized controlled trials are necessary.
    • Future research should focus on implementation beyond single centers and comprehensive cost analyses for all stakeholders.