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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
Organizing services for cardiovascular prevention
Robert C Block1, Thomas A Pearson
1Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Box 644, 601 Elmwood Avenue, Rochester, NY 14642, USA. robert_block@urmc.rochester.edu
Insights
Cardiovascular disease (CVD) prevention requires new care models. Shared responsibilities among healthcare teams are essential for comprehensive, evidence-based long-term patient management.
Area of Science:
- Cardiology
- Public Health
- Healthcare Management
Background:
- Aging populations are increasing cardiovascular disease (CVD) prevalence.
- Advances in screening and diagnostics identify more high-risk individuals.
- Current care models face challenges with rising CVD cases and resource allocation.
Purpose of the Study:
- To propose new models for cardiovascular disease prevention.
- To advocate for shared responsibilities in patient care.
- To address the gap between clinical knowledge and practice in CVD management.
Main Methods:
- Review of current clinical trial evidence for CVD risk factor treatment.
- Analysis of the impact of new screening and diagnostic technologies.
- Conceptual framework development for team-based, long-term care models.
Main Results:
- Aggressive treatment of risk factors is increasingly indicated.
- Expanded identification of high-risk individuals necessitates efficient resource allocation.
- Existing models of acute specialist care are insufficient for long-term CVD management.
Conclusions:
- New models of shared care responsibilities are crucial for effective CVD prevention.
- Cooperation among nurses, pharmacists, primary care providers, and specialists is vital.
- Revision of care systems towards team-based, long-term management, like the Chronic Care Model, is recommended.
Abstract:
With an aging population, cardiovascular disease (CVD) prevalence will continue to increase for at least the next 30 years. Current clinical trial evidence expands the indications for aggressive treatment of risk factors. Concurrently, the use of new screening and diagnostic technologies will expand the number of identified high-risk individuals requiring clinical care. These likely scenarios will force efficient resource allocation. The impression of the authors is that new models of shared responsibilities of care are needed to enable CVD prevention. All stages of care for those with CVD should entail cooperation among nurses, pharmacists, primary care providers, and cardiovascular specialists in delivering comprehensive, evidence-based care. The persistent treatment gap between current knowledge and clinical practice suggests old models of acute patient care by specialists require revision into fundamentally different systems of long-term care by a team of providers such as that proposed by the Chronic Care Model.
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