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'Heart Team' Concept - A reality or a 'Platonic Illusion'

O P Yadava1

  • 1National Heart Institute, 49-50 Community Centre, East of Kailash, New Delhi, 110065, India.

Indian Heart Journal
|October 22, 2017
PubMed

Insights

The Heart Team concept, recommended in guidelines for complex procedures, faces challenges in practical application. Current implementation often falls short, making it a theoretical ideal rather than a functional reality.

Area of Science:

  • Cardiology
  • Healthcare Management

Background:

  • The Heart Team concept is a Class I recommendation in European and ACC/AHA guidelines.
  • It is increasingly adopted for complex and multi-modality cardiovascular procedures.

Purpose of the Study:

  • To critically evaluate the practical implementation and effectiveness of the Heart Team concept.
  • To identify unaddressed issues hindering the Heart Team's pragmatic application, particularly in specific national contexts.

Main Methods:

  • Qualitative analysis of guideline recommendations.
  • Review of clinical practice challenges related to interdisciplinary cardiovascular care.

Main Results:

  • Despite theoretical advantages like patient-centered care, significant practical challenges exist.
  • The Heart Team concept often functions as a euphemism, lacking true operational integration.

Conclusions:

  • The Heart Team concept, while well-intentioned, is frequently a 'Platonic Illusion' rather than a pragmatic reality.
  • Addressing systemic issues is crucial for the Heart Team to achieve its intended benefits in cardiovascular care.

Keywords:
Bundled paymentHeart TeamVenn diagram

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