Soufer Aaron, Riello Ralph J, Desai Nihar R, Testani Jeffrey M, Ahmad Tariq
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale New Haven Hospital, Yale University School of Medicine, New Haven, CT, United States.
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale New Haven Hospital, Yale University School of Medicine, New Haven, CT, United States.
Prog Cardiovasc Dis. 2017 Sep-Oct;60(2):237-248. doi: 10.1016/j.pcad.2017.08.004. Epub 2017 Aug 19.
The immense symptom burden and healthcare expenditure associated with heart failure (HF) has resulted in hospital systems, insurance companies, and federal agencies playing close attention to systems of care delivery. In particular, there has been a large extent of focus on decreasing the frequency of HF readmissions through the development of hospital quality measures and the expansion of post discharge services to improve transitions of care from the inpatient to the outpatient setting. The post discharge clinic visit (PDV) serves an important role in this process as it acts as a fulcrum for the multi-disciplinary services available to HF patients, as well as an opportunity to fill any gaps that might have occurred in evidence based care of the patient. The objective of this review is to provide a blueprint for the PDV that will allow clinicians to construct the key elements of the PDV in a patient-centered fashion that is firmly rooted in the guidelines.
心力衰竭(HF)带来的巨大症状负担和医疗保健支出,已使医院系统、保险公司和联邦机构密切关注医疗服务提供体系。特别是,人们高度关注通过制定医院质量指标以及扩大出院后服务来减少HF再入院频率,以改善从住院到门诊护理的过渡。出院后门诊就诊(PDV)在这一过程中发挥着重要作用,它是HF患者可获得的多学科服务的支点,也是填补患者循证护理中可能出现的任何空白的契机。本综述的目的是为PDV提供一个蓝图,使临床医生能够以患者为中心的方式构建PDV的关键要素,且该方式牢固地基于指南。