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Developing a disease management program for the improvement of heart failure outcomes: the do's and the don'ts

Liam Healy1, Mark Ledwidge1, Joe Gallagher2

  • 1a Healthcare Group , St. Vincent's University Hospital , Dublin , Ireland.

Expert Review of Cardiovascular Therapy
|March 28, 2019
PubMed

Insights

Heart failure disease management programs (DMP) improve patient outcomes by reducing mortality and hospitalizations. Enhancing DMP structure and accessibility is crucial for widespread implementation and effective chronic heart failure care.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Heart failure affects 2% of the global population, necessitating effective management strategies.
  • Heart failure disease management programs (DMP) are clinically recommended but not widely implemented.
  • Current DMPs require optimization in structure, focusing on proven therapies, patient education, and timely intervention.

Purpose of the Study:

  • To outline the fundamental structure of heart failure disease management programs (DMP).
  • To identify current gaps in evidence and challenges in heart failure management.
  • To present current best evidence and expert opinion on optimizing DMPs.

Main Methods:

  • Literature search of MEDLINE using keywords: Chronic Heart Failure, Disease Management Program.
  • Review of existing clinical guidelines and evidence for heart failure management.
  • Inclusion of clinical opinion and expert insights.

Main Results:

  • DMPs have demonstrated reductions in mortality and hospitalizations for heart failure patients.
  • Multidisciplinary team care, early recognition of critical patients, and community/hospital-based inclusion are essential DMP components.
  • Focusing on proven therapies, patient education, diagnosis, and accessibility are fundamental to DMP structure.

Conclusions:

  • A multidisciplinary approach is essential for effective heart failure disease management programs.
  • DMPs are a benchmark of treatment and should be widely adopted.
  • Future efforts should prioritize identifying at-risk patients and implementing early prevention strategies.
Abstract

Keywords:
Chronic heart failuredisease management programheart failure/diagnosisheart failure/therapypatient-centred care

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