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心力衰竭再入院的干预措施:成功与失败之处

Interventions for heart failure readmissions: successes and failures.

作者信息

Fleming Lisa M, Kociol Robb D

机构信息

Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 185 Pilgrim Rd, Boston, MA, 02215, USA,

出版信息

Curr Heart Fail Rep. 2014 Jun;11(2):178-87. doi: 10.1007/s11897-014-0192-x.

Abstract

Heart failure readmissions result in significant costs to the health care system and to patients' quality of life, but programs to reduce readmissions have met with mixed success. Successful strategies have included multidisciplinary hospital-based quality initiatives, disease management programs, and care transition interventions. Devices like telemonitors and indwelling catheters, however, have met with mixed success. Research is still needed to elucidate the most effective interventions for readmission reduction in the HF population.

摘要

心力衰竭再入院给医疗保健系统和患者生活质量带来了巨大成本,但降低再入院率的项目成效不一。成功的策略包括基于医院的多学科质量改进措施、疾病管理项目以及护理过渡干预措施。然而,像远程监测仪和留置导管等设备的成效也参差不齐。仍需开展研究以阐明降低心力衰竭患者再入院率的最有效干预措施。

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