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Published on: July 12, 2024
[Clinical itinerary for heart failure: a program designed by primary care practitioners in Geneva]
N Perone1, S Schusselé Filliettaz, D M Haller
1Service de médecine de premier recours, Département de médecine communautaire, de premier recours et des urgences, HUG, Genève. nicolas.perone@hcuge.ch
Abstract:
Episodes of heart failure impact on patients' quality of life as well as their morbidity and mortality. This article describes a series of interventions designed by a group of primary care practitioners in Geneva. Some interventions aim to improve patients' autonomy in identifying the first signs of heart failure to act immediately. Others focus on patients' motivation to adopt appropriate behaviours (physical activity, etc.). And finally others have the objective to improve coordination between ambulatory and hospital care, as well as the transmission of clinical information. The implementation of these interventions highlights the need for individualised objectives of care in complex cases where patients have several co-morbidities and/or complicated social situations. In these situations an interdisciplinary approach is also essential.
Insights
Primary care practitioners developed interventions to enhance heart failure management. These strategies improve patient self-care, motivation, and care coordination, leading to better health outcomes.
Area of Science:
- Cardiology
- Primary Care Medicine
- Public Health
Context:
- Heart failure episodes significantly affect patient quality of life, morbidity, and mortality.
- Primary care settings play a crucial role in managing chronic conditions like heart failure.
- Effective interventions are needed to support patients with heart failure.
Purpose:
- To describe a series of interventions developed by primary care practitioners to improve heart failure management.
- To enhance patient autonomy in recognizing early heart failure signs and symptoms.
- To boost patient motivation for adopting healthy behaviors and improve care coordination.
Summary:
- Interventions focus on empowering patients to identify early heart failure symptoms for prompt action.
- Strategies aim to increase patient motivation for lifestyle modifications, such as physical activity.
- The program seeks to optimize communication and coordination between ambulatory and hospital care settings.
Impact:
- Implementation revealed the necessity of individualized care objectives for complex heart failure patients with comorbidities or social challenges.
- An interdisciplinary approach is essential for managing complex heart failure cases effectively.
- These interventions aim to improve patient outcomes and reduce the impact of heart failure on quality of life.
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