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Heart failure management: optimal health care delivery programs
1Department of Adult Health and Illness Nursing, College of Nursing, Ohio State University, USA.
Annual Review of Nursing Research
|August 5, 2000
Summary
Heart failure disease management programs aim to reduce costly rehospitalizations. However, many current programs lack rigorous testing, indicating a need for more research and evidence-based interventions.
Area of Science:
- Cardiology
- Health Services Research
- Public Health
Background:
- Heart failure (HF) represents a significant financial burden in the U.S., largely due to preventable rehospitalizations.
- Numerous HF disease management programs have emerged to mitigate costs and improve patient outcomes.
- A critical gap exists as few programs are rigorously tested or based on randomized controlled trials.
Purpose of the Study:
- To review and analyze existing studies on heart failure disease management programs.
- To critique the methodologies and findings of published research in this field.
- To provide recommendations for future research directions.
Main Methods:
- Systematic review of heart failure disease management program studies.
- Analysis of studies published from 1980 to the present.
- Critical appraisal of research methodologies and reported outcomes.
Main Results:
- The landscape of heart failure disease management programs has expanded significantly.
- A limited number of programs have undergone evaluation through randomized controlled trials.
- Evidence supporting the effectiveness of many current programs is scarce.
Conclusions:
- There is a pressing need for evidence-based heart failure disease management programs.
- Future research should prioritize randomized controlled trials to validate program efficacy.
- Standardized, rigorously tested interventions are crucial for reducing heart failure rehospitalizations and healthcare costs.