de Loor S, Jaarsma T
Neth Heart J. 2001 Sep;9(6):222-227.
To provide an overview of heart failure management programmes in the Netherlands.
A descriptive study was performed consisting of two phases, a screening phase in which all hospitals (n=109) and 105 home care organisations were approached by telephone to assess availability of heart failure management programmes. In phase 2, content and organisation of the programmes were described by a questionnaire.
At the moment, the majority of hospitals (75%) have a heart failure management programme or are developing such a programme. In 19 home care organisations (18%) a programme was available and three organisations had concrete plans to start one in the short term. Components of heart failure programmes differ considerably, with a follow-up after discharge from hospital as the most often reported component. Other components of programmes include patient education, increased access to healthcare professionals and adjusting medication. Exercise programmes are not often available. Organisational aspects with regard to setting, financing and staffing also differ between various programmes.
There is a considerable increase in the number of heart failure management programmes in the Netherlands, both hospital based and home based. Many questions regarding the most optimal content and organisation of heart failure management programmes remain unanswered.
概述荷兰心力衰竭管理项目。
进行了一项描述性研究，包括两个阶段，在筛查阶段通过电话联系了所有医院（n = 109）和105个家庭护理组织，以评估心力衰竭管理项目的可用性。在第二阶段，通过问卷调查描述了项目的内容和组织情况。
目前，大多数医院（75%）有心力衰竭管理项目或正在制定此类项目。在19个家庭护理组织（18%）中有项目可用，三个组织有短期内启动项目的具体计划。心力衰竭项目的组成部分差异很大，出院后随访是最常报告的组成部分。项目的其他组成部分包括患者教育、增加获得医疗专业人员的机会和调整药物治疗。运动项目并不常见。不同项目在设置、融资和人员配备等组织方面也存在差异。
荷兰心力衰竭管理项目的数量大幅增加，包括基于医院和基于家庭的项目。关于心力衰竭管理项目最优化内容和组织的许多问题仍未得到解答。
