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Background To improve health outcomes in heart failure (HF) patients, guideline directed medical therapy (GDMT) should be optimized to target doses. However, GDMT remains underutilized, with less than 25% of patients receiving target doses in clinical practice. Telemonitoring is part of the management of HF and could provide reliable and real-time physiological data for clinical decision support to facilitate remote titration of HF medication.
In 2007 Ontario Telemedicine Network (OTN) launched pilot of telehomecare (THC) for HF patients residing in Central West (CW), Toronto Central (TC) and North East (NE) local health integration networks (LHINs).
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