Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/112771
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Type: Journal article
Title: A systematic approach to chronic heart failure care: a consensus statement
Author: Page, K.
Marwick, T.
Lee, R.
Grenfell, R.
Abhayaratna, W.
Aggarwal, A.
Briffa, T.
Cameron, J.
Davidson, P.
Driscoll, A.
Garton-Smith, J.
Gascard, D.
Hickey, A.
Korczyk, D.
Mitchell, J.
Sanders, R.
Spicer, D.
Stewart, S.
Wade, V.
Citation: Medical Journal of Australia, 2014; 201(3):146-150
Publisher: Australasian Medical Publishing Company
Issue Date: 2014
ISSN: 0025-729X
1326-5377
Statement of
Responsibility: 
Karen Page, Thomas H Marwick, Rebecca Lee, Robert Grenfell, Walter P Abhayaratna, Anu Aggarwal, Tom G Briffa, Jan Cameron, Patricia M Davidson, Andrea Driscoll, Jacquie Garton-Smith, Debra J Gascard, Annabel Hickey, Dariusz Korczyk, Julie-Anne Mitchell, Rhonda Sanders, Deborah Spicer, Simon Stewart and Vicki Wade
Abstract: The National Heart Foundation of Australia assembled an expert panel to provide guidance on policy and system changes to improve the quality of care for people with chronic heart failure (CHF). The recommendations have the potential to reduce emergency presentations, hospitalisations and premature death among patients with CHF. Best-practice management of CHF involves evidence-based, multidisciplinary, patient-centred care, which leads to better health outcomes. A CHF care model is required to achieve this. Although CHF management programs exist, ensuring access for everyone remains a challenge. This is particularly so for Aboriginal and Torres Strait Islander peoples, those from non-metropolitan areas and lower socioeconomic backgrounds, and culturally and linguistically diverse populations. Lack of data and inadequate identification of people with CHF prevents efficient patient monitoring, limiting information to improve or optimise care. This leads to ineffectiveness in measuring outcomes and evaluating the CHF care provided. Expanding current cardiac registries to include patients with CHF and developing mechanisms to promote data linkage across care transitions are essential. As the prevalence of CHF rises, the demand for multidisciplinary workforce support will increase. Workforce planning should provide access to services outside of large cities, one of the main challenges it is currently facing. To enhance community-based management of CHF, general practitioners should be empowered to lead care. Incentive arrangements should favour provision of care for Aboriginal and Torres Strait Islander peoples, those from lower socioeconomic backgrounds and rural areas, and culturally and linguistically diverse populations. Ongoing research is vital to improving systems of care for people with CHF. Future research activity needs to ensure the translation of valuable knowledge and high-quality evidence into practice.
Keywords: National Heart Foundation of Australia; Humans; Chronic Disease; Evidence-Based Medicine; Biomedical Research; Health Planning; Benchmarking; Patient-Centered Care; Patient Care Team; Australia; Heart Failure
Rights: Copyright status unknown
RMID: 0030087263
DOI: 10.5694/mja14.00032
Grant ID: http://purl.org/au-research/grants/nhmrc/1059738
Appears in Collections:Medicine publications

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