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Abstract Objective To evaluate the accuracy, practicability and convenience of remote ECG monitoring technology when it is applied in urban community health service. Methods Based on the principle of random and control, this study enrolled 498 patients who met inclusion criteria and they were divided into two groups: station group(248 cases) and center group(250 cases). The patients in station group accepted remote ECG monitoring in the nearest community health service station while the cases in center group underwent ECG examination in the community health service center following conventional processes. Between the two groups, the detection rate of ECG abnormalities, the distance to the hospital, round trip time plus chairside time and medical expense, etc. were comparatively analyzed. Results It was found by analysis that (i) the detection rate of ECG abnormalities was 88.7% in station group and 91.2% in center group, without statistically significant difference(P＞0.05); (ii) as far as the roundtrip time plus chairside time were concerned, patients in station group spent significantly shorter time than the cases in center group, with statistically significant difference(P＜0.05); (iii) the total medical expenses in station and center groups were separately 132.82 yuan and 161.24 yuan per capita; except for inspection fee, the medical expense of station group was significantly lower than that of center group, with statistically significant difference(P＜0.05). Conclusion The remote ECG monitoring technology has high sensitivity and specificity similar to routine ECG while its convenience seems more significant. The technology helps in reducing the total medical expense and saving roundtrip time plus chairside time. The remote ECG monitoring technology makes it possible that urban community patients can be diagnosed accurately in his/her own home.
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2016, Vol. 25 
