Cardiovascular-Kidney-Metabolic Conditions and Population Health: The Need for an Integrated Care Strategy

Area of Science:

• Cardiology
• Nephrology
• Metabolic Disorders
• Public Health
• Healthcare Management

Background:

• Cardio-kidney-metabolic (CKM) syndrome, a prevalent condition combining metabolic, kidney, and cardiovascular issues, poses significant morbidity and mortality risks.
• Current treatments for CKM syndrome are evolving, offering opportunities to improve patient outcomes and alter disease progression.
• Clinician-level interventions have shown limited impact on population health for CKM syndrome.

Purpose of the Study:

• To review evidence supporting integrated care programs as a population health strategy for CKM syndrome.
• To propose a framework for integrated care programs tailored to CKM syndrome.
• To achieve the quadruple aim: better patient experience, improved population health, reduced costs, and enhanced provider well-being.

Main Methods:

• Review of evidence on integrated care programs for CKM syndrome.
• Analysis of randomized controlled trials demonstrating efficacy.
• Development of a proposed framework for integrated care delivery.

Main Results:

• Integrated care programs have shown efficacy in increasing guideline-directed treatment for CKM syndrome in randomized controlled trials.
• These programs offer a collaborative, person-centered approach to care.
• Integrated care addresses barriers and improves healthcare capacity and equity.

Conclusions:

• Integrated care programs represent a promising population health strategy for CKM syndrome.
• A tailored framework can optimize integrated care delivery for CKM syndrome.
• Successful implementation can advance the quadruple aim in CKM syndrome management.