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Published on: April 19, 2019
Effects of a collaborative health management model on people with congestive heart failure: A systematic review and
Chih Wen Chen1,2, Mei-Chen Lee1, Shu-Fang Vivienne Wu1,3
1School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Insights
Collaborative health management for congestive heart failure improves patient self-care, reduces hospitalizations, and lowers mortality rates. This model enhances quality of life and supports healthcare systems globally.
Area of Science:
- Cardiovascular Medicine
- Health Services Research
Background:
- Cardiovascular disease is a leading global cause of death.
- Congestive heart failure (CHF) management is increasingly complex due to aging populations and rising care costs.
- The effectiveness of multidisciplinary, collaborative CHF management requires thorough investigation.
Purpose of the Study:
- To rigorously evaluate evidence on collaborative health management for congestive heart failure.
- To determine the impact of collaborative models on patient outcomes and healthcare utilization.
Main Methods:
- Systematic review and meta-analysis of 13 studies published between 2002 and 2022.
- Searches conducted in Cochrane Library, PubMed, CINAHL, and Medline.
- Methodological quality assessed using the Jadad Quality Scale; statistical heterogeneity evaluated using Review Manager.
Main Results:
- Collaborative CHF management enhances patient self-care and monitoring abilities.
- This model strengthens cardiac function, alleviates symptoms, and improves quality of life.
- Significant reductions observed in readmission rates and mortality.
Conclusions:
- The collaborative health management model effectively reduces CHF-related hospitalizations and all-cause mortality.
- It improves patient quality of life through coordinated interdisciplinary care.
- This model offers a sustainable approach to CHF care, especially amid nursing staff shortages.
Aim:
To determine the effects of collaborative health management of congestive heart failure through the rigorous evaluation and extraction of evidence.
Background:
Over the past two decades, cardiovascular disease has been the leading cause of death worldwide. Multidisciplinary team intervention for congestive heart failure has increased with population ageing and congestive heart failure incidence rate as well as cost of care. However, the effectiveness and feasibility of collaborative health management need to be explored.
Design:
Systematic review and meta-analysis.
Methods:
We conducted systematic literature searches in the Cochrane Library, PubMed, CINAHL and Medline for articles published between 2002 and 2022. After screening based on the inclusion and exclusion criteria, 13 articles were included in a rigorous review and evidence extraction process, evaluated methodological quality using the Jadad Quality Scale. Statistical heterogeneity was evaluated using Review Manager (RevMan Version 5.4) for the meta-analysis.
Results:
In this study, a systematic review and meta-analysis were performed on 13 studies regarding the collaborative health management of people with congestive heart failure. The common result is that the collaborative health management model enables the enhancement of self-care and monitoring abilities, the strengthening of cardiac function, the alleviation of physiological and psychological symptoms and the improvement of readmission rates, mortality rate and quality of life.
Conclusion:
The congestive heart failure collaborative health management model could decrease the hospitalization rate related to congestive heart failure, all-cause mortality rate, and all-cause hospitalization rate, and improve the quality of life.
Implications For Practice:
The collaborative health management model could effectively coordinate interdisciplinary team cooperation and provide information, which decreases hospitalization and mortality risks and improves their quality of life.
No Patient Or Public Contribution:
Our paper is a systematic review and meta-analysis, and such details do not apply to our work. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: The Collaborative Health Management Model provides in-depth insights, aiding in the design tailored to the specific circumstances of each country. Highlighting its critical role in the context of a global shortage of nursing staff, the model emphasizes the integration of multidisciplinary professional roles and the strengthening of collaboration as essential elements in addressing challenges posed by workforce shortages. Implementation of the Collaborative Health Management Model not only enhances patient care outcomes but also relieves pressure on healthcare systems, lowers medical costs, and addresses challenges arising from the shortage of nursing staff. Consequently, this model not only contributes to individual patient care improvement but also holds broader implications for enhancing the efficiency and sustainability of global healthcare systems.
Trial And Protocol Registration:
The detailed study protocol can be found on the PROSPERO website.
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