Division of Cardiovascular Medicine, Department of Internal Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
J Womens Health (Larchmt). 2010 Mar;19(3):507-16. doi: 10.1089/jwh.2009.1414.
Improving, Enhancing and Evaluating Outcomes of Comprehensive Heart Health Care Programs for High Risk Women has funded six diverse centers to provide chronic disease risk factor screening and lifestyle interventions for women and focuses specifically on low-income, minority women.
This article describes the rationale for these diverse programs across the country, all focusing on improving outcomes for women with or at risk for cardiovascular disease (CVD). The six programs include College of Physicians and Surgeons at Columbia University, Christ Community Health Services in Memphis, Women's Heart Center of Fox Valley Cardiovascular Consultants, University of Minnesota, University of California Davis Women's Cardiovascular Medicine Program, and Yale-New Haven Hospital's Women's Heart Advantage.
We present six differing approaches to women's heart programs. Based on this experience, promoting CVD prevention in women is a feasible healthcare delivery strategy for health promotion and for delivering preventive strategies for high-risk women. It is possible to deliver heart-healthy programs through existing healthcare infrastructures. These programs provide important models for public health, voluntary, and other health organizations to develop networks for population-based, targeted, relatively low cost programs that support Healthy People 2010 objectives for lifestyle changes and cardiovascular health. Ongoing longitudinal analysis of the programs will provide information about clinical outcomes and sustainability of such programs beyond the funding period.
改善、增强和评估高风险女性综合心脏保健计划的结果，为 6 个不同的中心提供慢性病风险因素筛查和生活方式干预，这些中心特别关注低收入和少数民族妇女。
本文描述了全国范围内这些多样化项目的基本原理，所有项目都集中于改善患有或有患心血管疾病（CVD）风险的妇女的结果。六个项目包括哥伦比亚大学医师与外科学院、孟菲斯基督社区卫生服务中心、福克斯谷心血管顾问妇女心脏中心、明尼苏达大学、加州大学戴维斯妇女心血管医学计划和耶鲁-纽黑文医院妇女心脏优势项目。
我们提出了六种不同的妇女心脏计划方法。基于这一经验，促进妇女的 CVD 预防是一种可行的医疗保健提供策略，可用于促进健康和为高风险妇女提供预防性策略。通过现有的医疗保健基础设施提供心脏健康计划是可行的。这些项目为公共卫生、志愿和其他卫生组织提供了重要的模式，以发展基于人群、有针对性、相对低成本的计划网络，支持 2010 年健康人民关于生活方式改变和心血管健康的目标。对这些项目的持续纵向分析将提供有关项目的临床结果和可持续性的信息，这些信息超出了资金周期。
