Chan Yih-Kai, David Alice M, Mainland Caitlyn, Chen Lei, Stewart Simon
Mary MacKillop Institute for Health Research, Australian Catholic University,Melbourne, Australia.
Card Fail Rev. 2017 Nov;3(2):113-115. doi: 10.15420/cfr.2017:11:1.
We report on our learning from many years of research testing the value of nurse-led, multidisciplinary, home-based management of heart failure. We discuss and highlight the key challenges we have experienced in testing this model of care relative to alternatives and evolving patient population. Accordingly, we propose a pragmatic approach to adapt current models of care to meet the needs of increasingly complex (and costly) patients with multimorbidity.
我们报告了多年来对由护士主导的多学科居家心力衰竭管理的价值进行研究的经验教训。我们讨论并强调了在测试这种护理模式时相对于其他替代方案以及不断变化的患者群体所遇到的关键挑战。因此,我们提出一种务实的方法来调整当前的护理模式,以满足患有多种疾病的日益复杂(且费用高昂)的患者的需求。