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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

Current Treatment Options in Cardiovascular Medicine
|September 1, 2007
PubMed
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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.

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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.