Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/116012
Type: | Journal article |
Title: | Integrated chronic care management for patients with atrial fibrillation : a rationale for redesigning atrial fibrillation care |
Author: | Hendriks, J. Crijns, H. Vrijhoef, H. |
Citation: | Journal of Atrial Fibrillation, 2015; 7(5):45-50 |
Publisher: | CardioFront LLC |
Issue Date: | 2015 |
ISSN: | 1941-6911 1941-6911 |
Statement of Responsibility: | Jeroen M L Hendriks, Harry J G M Crijns, Hubertus J M Vrijhoef |
Abstract: | Atrial Fibrillation (AF) is a highly prevalent heart rhythm disturbance, often associated with underlying (cardio)vascular disease. Due to this the management of AF is often complex and current practice calls for a more comprehensive, multifactorial and patient-centred approach. Therefore an Integrated Chronic Care approach in AF was developed and implemented in terms of a nurse-led specialized outpatient clinic for patients with AF. A randomised controlled trial comparing the nurse-led approach with usual care demonstrated superiority in terms of cardiovascular hospitalization and death as well as cost-effectiveness in terms of Quality Adjusted Life Years (QALYs) and life years, in favour of the nurse-led approach. Implementing such approach can be difficult since daily practice can be persistent. To highlight the importance of integrated care wherein the nurse fulfils a significant role, and to provide a guide in developing and continuing such approach, this paper presents the theoretical framework of the AF-Clinic based on the principles of the Taxonomy for Integrated Chronic Atrial Fibrillation Management. |
Rights: | This work is licensed under a Creative Commons Attribution 3.0 Unported License |
Published version: | http://www.jafib.com/published/published.php?id=1177&is=previous_issue&f=full&date=2015-02-28 |
Appears in Collections: | Aurora harvest 8 Medicine publications |
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File | Description | Size | Format | |
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hdl_116012.pdf | Published Version | 650.76 kB | Adobe PDF | View/Open |
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