A systematic approach to chronic heart failure care: a consensus statement
Open accessAbstract
The National Heart Foundation of Australia assembled an expert panel to provide guidance on policy and system changes to improve the quality of care for people with chronic heart failure (CHF). The recommendations have the potential to reduce emergency presentations, hospitalisations and premature death among patients with CHF. Best-practice management of CHF involves evidence-based, multidisciplinary, patient-centred care, which leads to better health outcomes. A CHF care model is required to achieve this. Although CHF management programs exist, ensuring access for everyone remains a challenge. This is particularly so for Aboriginal and Torres Strait Islander peoples, those from non-metropolitan areas and lower socioeconomic backgrounds, and culturally and linguistically diverse populations. Lack of data and inadequate identification of people with CHF prevents efficient patient monitoring, limiting information to improve or optimise care. This leads to ineffectiveness in measuring outcomes and evaluating the CHF care provided. Expanding current cardiac registries to include patients with CHF and developing mechanisms to promote data linkage across care transitions are essential. As the prevalence of CHF rises, the demand for multidisciplinary workforce support will increase. Workforce planning should provide access to services outside of large cities, one of the main challenges it is currently facing. To enhance community-based management of CHF, general practitioners should be empowered to lead care. Incentive arrangements should favour provision of care for Aboriginal and Torres Strait Islander peoples, those from lower socioeconomic backgrounds and rural areas, and culturally and linguistically diverse populations. Ongoing research is vital to improving systems of care for people with CHF. Future research activity needs to ensure the translation of valuable knowledge and high-quality evidence into practice.
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An integrated, structured approach to AF care, as applied successfully to other domains of medicine, will facilitate consistent, guideline-adherent AF management for all patients, with the potential to improve outcomes.
“An integrated, structured approach to AF care, as applied successfully to other domains of medicine, 322-324 will facilitate consistent, guideline-adherent AF management for all patients 325 (Figure 6), with the potential to improve outcomes.”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [322]
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Page, K. (2015) · The Medical Journal of Australia · doi:10.5694/mja14.01383 · Cited by 1 · see citing works
Community detection of non-ischemic stage B heart failure
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Fundamentals of Cardiology for the Non-cardiologist
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- Authors
- Page, K., Marwick, T. H., Lee, R., Grenfell, R., Abhayaratna, W. P., Aggarwal, A., Briffa, T. G., Cameron, J., Davidson, P. M., Driscoll, A., Garton‐Smith, J., Gascard, D. J., Hickey, A., Korczyk, D., Mitchell, J., Sanders, R., Spicer, D., Stewart, S., & Wade, V.
- Affiliations
- National Heart Foundation of Australia (AU)
- Menzies Research Institute Tasmania, Hobart, TAS.
- Canberra Hospital (AU)
- The Royal Melbourne Hospital (AU)
- The University of Western Australia (AU)
- Australian Catholic University (AU)
- University of Technology Sydney (AU)
- Deakin University (AU)
- Government of Western Australia Department of Health (AU)
- Monash Health (AU)
- Prince Charles Hospital (AU)
- Princess Alexandra Hospital (AU)
- St Vincent's Hospital Melbourne (AU)
- SA Health (AU)
- Baker Heart and Diabetes Institute (AU)
- ORCID
- Venue
- Medical Journal of Australia
- Publisher
- AMPCo
- Published
- 2014-08
- Volume
- 201
- Issue
- 3
- Pages
- 146-150
- ISSN
- 0025-729X (ISSN-L)
- 1326-5377
- OpenAlex
- W2160381684
- Cited by
- 59
- References
- 39
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 4 · 2018: 8 · 2017: 8 · 2016: 14 · 2015: 12 · 2014: 1
- FWCI
- 8.00
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- The Medical Journal of Australia (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- ANU Open Research (Australian National University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- chronic heart failure, multidisciplinary care, patient-centered care, data linkage, care transitions, workforce planning, community management, general practitioners, Aboriginal and Torres Strait Islander peoples, socioeconomic disparities, health policy, hospitalization reduction, emergency presentation
- MeSH terms
- Australian Aboriginal and Torres Strait Islander Peoples, Australia, Chronic Disease, Health Planning, Heart Failure, Humans, Patient Care Team, Patient-Centered Care, Evidence-Based Medicine, Benchmarking, Biomedical Research
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