Poelzl Gerhard, Fetz Bettina, Altenberger Johann, Fritsch Margret, Auer Johann, Stachl Elfriede, Boehmer Armin, Frauendorfer Heinrich, Ebner Christian, Geyrhofer Friedrich, Pötz Stefan, Prim Annette, Alber Hannes, de Grandis Renate, Drack Christiane, Hülsmann Martin
Department of Internal Medicine III, Cardiology & Angiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Tyrol, Austria.
Landesinstitut für Integrierte Versorgung - LIV, Innsbruck, Tyrol, Austria.
Wien Klin Wochenschr. 2020 Jun;132(11-12):310-321. doi: 10.1007/s00508-020-01615-y. Epub 2020 Feb 18.
Heart failure (HF) is common and is associated with high morbidity, mortality and high health expenditure. A multidisciplinary disease management plan (DMP) can reduce morbidity and mortality, save costs and improve the quality of life. In Austria, three HF-specific DMPs are currently in a project phase and four established DMPs are active. Although programs are widely heterogeneous with respect to their intervention type, they pursue the same interventional goal by supporting seamless care between inpatient and community care settings with a multidisciplinary team. This survey presents a systematic survey of the HF-specific DMPs in Austria. Disparities between programs are highlighted and discussed. The nationwide establishment of HF-specific DMPs that integrate primary care and cardiology services including a regulation of the remuneration of stakeholders and program infrastructure is needed to decrease the burden of HF for both the individual and society.
心力衰竭(HF)很常见,且与高发病率、高死亡率以及高额医疗支出相关。多学科疾病管理计划(DMP)可以降低发病率和死亡率、节省成本并提高生活质量。在奥地利,目前有三个针对HF的DMP正处于项目阶段,四个已确立的DMP正在实施。尽管这些项目在干预类型方面存在很大差异,但它们通过多学科团队支持住院和社区护理环境之间的无缝衔接,追求相同的干预目标。本调查对奥地利针对HF的DMP进行了系统调查。突出并讨论了各项目之间的差异。需要在全国范围内建立整合初级保健和心脏病学服务的针对HF的DMP,包括对利益相关者的报酬和项目基础设施进行规范,以减轻HF对个人和社会的负担。