The Association Between Office, Video, and Telemanagement Encounters and GDMT Optimization in Advanced HFrEF.

ABSTRACT:

Background

The University of Michigan integrated health care system implemented a team-based care model to optimize guideline-directed medical therapy (GDMT) for patients with advanced heart failure with reduced ejection fraction (HFrEF). This team-based care model comprises office visits, video visits, and telemanagement.

Objectives

The purpose of this study was to evaluate whether the frequency of each component of this care model, office visits, video visits, and telemanagement enhances GDMT optimization.

Methods

We conducted a retrospective cohort study of adults with HFrEF managed from July 2021 to October 2024 (n = 1,331). For each encounter type, patients were categorized as low, medium, or high frequency (tertiles). The primary outcome was time to GDMT optimiz

SUBMITTER: Ali MS 

PROVIDER: S-EPMC12689197 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature