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将心力衰竭指南与慢性病管理相联系的机遇——初步思考。

Opportunities to link Heart Failure Guidelines and chronic disease management-preliminary considerations.

作者信息

Iyngkaran Pupalan, Calder Rosemary, Nelson Craig, Lowthian Judy, Hespe Charlotte, Horowitz John, de Courten Maximilian P

机构信息

Mitchell Institute and Institute for Health and Sport, Victoria University, 3000 Melbourne, Australia.

Medical School Werribee Campus, University of Notre Dame, 3030 Werribee, Australia.

出版信息

Rev Cardiovasc Med. 2022 Apr 12;23(4):142. doi: 10.31083/j.rcm2304142. eCollection 2022 Apr.

Abstract

BACKGROUND

Enhancing community based Chronic Disease Management (CDM) will make significant impacts on all major chronic disease management outcome measures. There are no successful models of community hubs to triage and manage chronic diseases that significantly reduce readmissions, cost and improve chronic disease knowledge. Chronic heart failure (CHF) management foundations are built on guideline derived medical therapies (GDMT). These consensuses evidenced building blocks have to be interwoven into systems and processes of care which create access, collaboration and coordinate effective and innovative health services.

METHODS

Perspective and short communication.

CONCLUSIONS

This review explores: (i) conventional chronic disease management in Australia; (ii) Possible options for future chronic diseases models of care that deliver key components of CHF management.

摘要

背景

加强基于社区的慢性病管理(CDM)将对所有主要慢性病管理结果指标产生重大影响。目前尚无成功的社区枢纽模式来对慢性病进行分流和管理,从而显著降低再入院率、成本并提高慢性病知识水平。慢性心力衰竭(CHF)管理基础建立在基于指南的药物治疗(GDMT)之上。这些已得到共识证明的基础要素必须融入医疗系统和流程中,以实现医疗服务的可及性、协作性,并协调有效且创新的医疗服务。

方法

观点阐述与简短交流。

结论

本综述探讨了:(i)澳大利亚的传统慢性病管理;(ii)未来可能的慢性病护理模式,这些模式应包含CHF管理的关键要素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3b2/11273772/9b234cae50ed/2153-8174-23-4-142-g1.jpg

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