Related Experiment Video
Updated: Oct 14, 2025
Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
Published on: February 17, 2018
[Recommendations to develop Care Models for patients with Heart Failure (MAIC Project) from macromanagement]
J Comin-Colet1, E Calero-Molina2, X Corbella3
1Hospital Universitario de Bellvitge y IDIBELL, Hospitalet de Llobregat, Barcelona; Departamento de Ciencias Médicas, Facultad de Medicina, Universidad de Barcelona.
Insights
Developing optimal Heart Failure (HF) care models requires focusing on key management factors. Prioritizing common objectives, continuity of care, and outcome measurement is crucial for advancing HF patient management.
Area of Science:
- Cardiology
- Healthcare Management
- Public Health
Background:
- Heart Failure (HF) necessitates advanced care models for optimal patient outcomes.
- Current HF management requires strategic refinement of care delivery systems.
Purpose of the Study:
- To identify critical factors for developing optimal Heart Failure (HF) care models.
- To define essential macromanagement elements for comprehensive HF management.
Main Methods:
- A Delphi panel of 46 multidisciplinary experts was convened.
- Systematic literature review and patient care pathway analysis informed factor identification.
- Delphi Rand/UCLA methodology was applied for prioritization.
Main Results:
- 75 key factors for HF care models were defined, grouped into 7 challenges.
- 16 factors were identified for HF management model development.
- 7 high-priority factors include common objectives, continuity of care, and outcome measurement.
Conclusions:
- Macromanagement elements are a priority for advancing optimal HF care models.
- Strategic definition of macro-level management is essential for comprehensive HF care development.
Background:
The general objective of the study was to reflect on the key factors to advance in optimal models of care for Heart Failure (HF) and specifically, on the macromanagement elements most necessary for the development of comprehensive HF management models.
Material And Methods:
An Advisory Committee, composed of 15 experts and a multidisciplinary group of 31 additional experts, was appointed, together forming a Delphi panel of 46 experts. Based on a systematic bibliographic review and the analysis of the care course of the patient with HF, an initial battery of key factors for the development of HF care models was identified by the Advisory Committee. This proposal was adjusted and prioritized by the Delphi panel applying Delphi Rand/UCLA methodology.
Results:
After two Delphi rounds, 75 key factors grouped into 7 challenges were defined. In the first of the challenges, related to the development of HF management models, 16 key factors were identified, 7 of which were valued as high priority and related to the establishment of common objectives, resources for the continuity of care and improving the measurement of health outcomes.
Conclusions:
The definition of management elements at the macro level was considered a priority to advance in the development of optimal models of assistance to HF.
Related Concept Videos
01:29Cardiomyopathy VI: Nursing Management
01:30Heart Failure V: Medical Management
01:30Heart Failure VII: Nursing Interventions
01:29Cardiomyopathy V: Interprofessional Care
01:28Mitral Regurgitation IV: Nursing Management
01:22Heart Failure VI: Adjunct Therapies