University of British Columbia, Vancouver, British Columbia, Canada.
Libin Cardiovascular Institute and the University of Calgary, Calgary, Alberta, Canada.
Can J Cardiol. 2020 Jul;36(7):1148-1151. doi: 10.1016/j.cjca.2020.05.009. Epub 2020 May 13.
The traditional model of heart failure (HF) care in Canada, which relies upon a multidisciplinary team and clinic-based care processes, has been undermined as a result of the COVID-19 pandemic. As the pandemic continues, we will be challenged to improve or maintain the health status of those with HF by optimizing guideline-directed care despite physical distancing constraints and a reduction in the health care workforce. This will require development of new strategies specifically targeted at decreasing the risk of decompensation and resultant HF hospitalization. As such, we must quickly pivot to the adoption and application of novel technologies and revise usual care models, processes, and workflow. The unprecedented COVID-19 crisis has delivered the Canadian HF community a burning platform for the design and implementation of innovative approaches to support the vulnerable population we serve; born out of necessity, we now have the opportunity to explore innovative approaches that might inform the future of HF care delivery in Canada. Herein, we provide perspectives from leadership within the Canadian Heart Failure Society on how to optimize HF care during the COVID-19 pandemic.
由于 COVID-19 大流行，加拿大传统的心力衰竭 (HF) 治疗模式（依赖多学科团队和以诊所为基础的治疗流程）受到了破坏。随着大流行的持续，我们将面临挑战，需要在保持身体距离和减少医疗保健劳动力的情况下，通过优化指南指导的护理来改善或维持 HF 患者的健康状况。这将需要制定专门针对降低失代偿风险和由此导致的 HF 住院风险的新策略。因此，我们必须迅速转向采用和应用新技术，并修改通常的护理模式、流程和工作流程。前所未有的 COVID-19 危机为加拿大 HF 社区提供了一个创新方法的设计和实施的契机，以支持我们所服务的弱势群体；出于必要性，我们现在有机会探索创新方法，为加拿大 HF 护理的未来提供信息。在此，我们提供了加拿大心力衰竭学会领导层的观点，介绍如何在 COVID-19 大流行期间优化 HF 护理。
