[ANMCO Position paper: From acute to chronic disease: the needs of complex cardiac patients]

Area of Science:

• Cardiology
• Healthcare Management
• Public Health

Background:

• Chronic heart disease management necessitates a multidisciplinary approach beyond simple specialty coordination.
• Continuity of care is crucial for integrating hospital departments, community services, and patient support.
• The Italian Association of Hospital Cardiologists (ANMCO) addresses the need for standardized principles in complex cardiac patient care.

Purpose of the Study:

• To define general principles for managing complex cardiac patients throughout disease phases.
• To advocate for a multidisciplinary, integrated, and holistic approach to cardiac care.
• To provide a framework for optimizing treatment and care pathways for chronic heart conditions.

Main Methods:

• Development of a position paper by the Italian Association of Hospital Cardiologists (ANMCO).
• Identification of analytical tools to understand and manage complexity in cardiac patient care.
• Outlining key components of integrated care, including care pathways, social-health integration, nursing roles, and education.

Main Results:

• Proposed strategies include optimizing treatment and intensive care pathways.
• Emphasizes the integration of social and health needs for comprehensive patient support.
• Highlights the vital role of nursing in ensuring continuity of care from outpatient to home settings.

Conclusions:

• A multidisciplinary, integrated, and holistic approach is essential for effective chronic heart disease management.
• Continuity of care across all settings, supported by nursing and educational interventions, improves patient outcomes.
• Standardized principles are needed to guide the care of complex cardiac patients, ensuring seamless transitions and comprehensive support.