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. 2021;17(5):e160721190003.
doi: 10.2174/1573403X16666210108104945.

Part 1: The Wider Considerations in Translating Heart Failure Guidelines

Affiliations

Part 1: The Wider Considerations in Translating Heart Failure Guidelines

Pupalan Iyngkaran et al. Curr Cardiol Rev. 2021.

Abstract

Congestive Heart Failure (CHF) is an emerging epidemic. Within one generation, the medical community has learned much of CHF syndromes. It has two distinct mechanisms, systolic and diastolic abnormalities, to account for the common CHF presentation. It is complex as it challenges the available health care services, resource, and funding models in providing an equitable service across the health continuum. Despite the improvement in many cardiovascular diseases, some CHF outcomes like readmissions and costs have increased. The reinvigoration of evidence- based medicine, the development of health services models of care, and standardisation of disease processes with taxonomies have also occurred within the same time span. These processes, however, need to be linked with health policy as presented in white papers. In this paper, we explore achieving optimal CHF guideline-recommended outcomes as the science approaches realworld translation.

Keywords: Congestive heart failure; cost-efficacy; health services; health systems.; taxonomy; white-papers.

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Figures

Fig. (1)
Fig. (1)
Chronic diseases programs, health services and cost-effectiveness. (A higher resolution / colour version of this figure is available in the electronic copy of the article).
Fig. (2)
Fig. (2)
The spectrum of health data. (A higher resolution / colour version of this figure is available in the electronic copy of the article).
Fig. (3)
Fig. (3)
Map of Western Melbourne heart failure service. (A higher resolution / colour version of this figure is available in the electronic copy of the article).

References

    1. Gliklich R., Dreyer N., Leavy M., editors. Registries for evaluating patient outcomes: a user’s guide. 3rd Ed. Rockville (MD): Agency for healthcare research and quality (US). . 2014 13 (14): EHC111. - PubMed
    1. Iyngkaran P, Liew D, Neil C, Driscoll A, Marwick TH, Hare DL. Moving From Heart Failure Guidelines to Clinical Practice: Gaps Contributing to Readmissions in Patients With Multiple Comorbidities and Older Age. Clin Med Insights Cardiol. 2018;12:1179546818809358. doi: 10.1177/1179546818809358. - DOI - PMC - PubMed
    1. Krumholz H.M., Currie P.M., Riegel B., Phillips C.O., Peterson E.D., Smith R., Yancy C.W., Faxon D.P. American Heart Association Disease Management Taxonomy Writing Group. A taxonomy for disease management: a scientific statement from the American Heart Association Disease Management Taxonomy Writing Group. Circulation. 2006;114(13):1432–1445. doi: 10.1161/CIRCULATIONAHA.106.177322. - DOI - PubMed
    1. Iyngkaran P., Biddargardi N., Bastiampillai T., Beneby G. Making sense of health care delivery Where does the close to community health care worker fit in? - The case for congestive heart failure. Indian Heart J. 2015;67(3):250–258. doi: 10.1016/j.ihj.2015.03.013. - DOI - PMC - PubMed
    1. Wagner E.H., Austin B.T., Davis C., Hindmarsh M., Schaefer J., Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff. (Millwood) 2001;20(6):64–78. doi: 10.1377/hlthaff.20.6.64. - DOI - PubMed

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