J Healthc Qual. 2022;44(5):294-304. doi: 10.1097/JHQ.0000000000000353.
Healthcare disparites exist in cardiovascular care, including heart failure. Care that is not equitable can lead to higher incidence of heart failure, increased readmissions, and poorer outcomes. The Heart Failure Transitional Care Services for Adults Clinic is an interprofessional collaborative practice that provides guideline-directed medical therapy and education to underserved patients with heart failure. Little is known regarding healthcare equity and quality metrics in relation to interprofessional teams. Thus, the purpose of this study was to examine if an interprofessional collaborative practice care delivery model can affect access to care and healthcare quality outcomes in underserved patients with heart failure. As evidenced by control charts over a two and a half year period, the Heart Failure Transitional Care Services for Adults Clinic was able to show improvements in access to care and quality metrics results without variation. An interprofessional collaborative practice can be an effective delivery model to address health equity and quality of care outcomes.
医疗保健中的心血管护理存在差异,包括心力衰竭。不平等的护理可能导致心力衰竭发生率更高、再入院率增加和预后更差。成人心力衰竭过渡护理服务诊所是一个跨专业协作实践,为服务不足的心力衰竭患者提供指南指导的医疗治疗和教育。关于跨专业团队的医疗公平和质量指标,人们知之甚少。因此,本研究的目的是探讨跨专业协作实践护理提供模式是否可以影响服务不足的心力衰竭患者的护理获得和医疗质量结果。正如两年半的控制图所示,成人心力衰竭过渡护理服务诊所能够在没有变化的情况下改善获得护理和质量指标的结果。跨专业协作实践可以是解决医疗公平和护理质量结果的有效提供模式。