A comparative study on heart failure disease management program in Japan and Sweden

2014 Fiscal Year Final Research Report

• Project/Area Number: 25893059
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Single-year Grants
• Research Field: Clinical nursing
• Research Institution: The University of Tokyo
• Principal Investigator: KATO Naoko 東京大学, 医学部附属病院, 研究員 (00711392)
• Research Collaborator: JAARSMA Tiny Linkoping University, Department of Social and Welfare Studies, Sweden, 教授
• Project Period (FY): 2013-08-30 – 2015-03-31
• Keywords: 心不全 / 疾病管理 / 国際共同研究 / 国際情報交換 / スウェーデン / 遠隔医療 / テレモニタリング / 看護

Outline of Final Research Achievements

We performed a cross-sectional survey on non-invasive telemonitoring of heart failure (HF) patients in Japan and Sweden. A total of 378 Japanese (120 cardiologists, 258 nurses) and 120 Swedish (39 cardiologists, 81 nurses) healthcare professionals from 165 Japanese and 61 Swedish hospitals/clinics participated in the study. In total, 7 Japanese (4.2%) and none of the Swedish hospitals/clinics used telemonitoring for HF patients. One fourth (24%) of the participants responded that they were familiar with the technology (22% in Japan and 30% in Sweden). The highest expectations of telemonitoring were to reduce hospitalizations, increasing patients' self-care, and offering high quality of care. Three themes of the barriers were found: organization (e.g., cannot envisage how it works, and lack of equipment), healthcare professionals (e.g., poor knowledge and lack of advantage), and patients (e.g., physical dysfunction and lack of motivation).

Free Research Field

臨床看護学，成人看護学，循環器看護