The association between socioeconomic status of high-risk patients with coronary heart disease and the treatment rates of evidence-based medicine for coronary heart disease secondary prevention in China: Results from the Bridging the Gap on CHD Secondary Prevention in China (BRIG) Project

2009 ◽  
Vol 157 (4) ◽  
pp. 709-715.e1 ◽  
Author(s):  
Shaoli Niu ◽  
Dong Zhao ◽  
Junren Zhu ◽  
Jun Liu ◽  
Qun Liu ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
High Risk ◽  
Secondary Prevention ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
High Risk Patients ◽  
Risk Patients ◽  
Based Medicine

scholarly journals Strong and sustainable primary healthcare is associated with a lower risk of hospitalization in high risk patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Olga A. Sawicki ◽  
Angelina Mueller ◽  
Renate Klaaßen-Mielke ◽  
Anastasiya Glushan ◽  
Ferdinand M. Gerlach ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
High Risk ◽  
Chronic Heart Failure ◽  
Lower Risk ◽  
High Risk Patients ◽  
Risk Patients

AbstractIn 2004, Germany introduced a program based on voluntary contracting to strengthen the role of general practice care in the healthcare system. Key components include structured management of chronic diseases, coordinated access to secondary care, data-driven quality improvement, computerized clinical decision-support, and capitation-based reimbursement. Our aim was to determine the long-term effects of this program on the risk of hospitalization of specific categories of high-risk patients. Based on insurance claims data, we conducted a longitudinal observational study from 2011 to 2018 in Baden-Wuerttemberg, Germany. Patients were assigned to one or more of four open cohorts (in 2011, elderly, n = 575,363; diabetes mellitus, n = 163,709; chronic heart failure, n = 82,513; coronary heart disease, n = 125,758). Adjusted for key patient characteristics, logistic regression models were used to compare the hospitalization risk of the enrolled patients (intervention group) with patients receiving usual primary care (control group). At the start of the study and throughout long-term follow-up, enrolled patients in the four cohorts had a lower risk of all-cause hospitalization and ambulatory, care-sensitive hospitalization. Among patients with chronic heart failure and coronary heart disease, the program was associated with significantly reduced risk of cardiovascular-related hospitalizations across the eight observed years. The effect of the program also increased over time. Over the longer term, the results indicate that strengthening primary care could be associated with a substantial reduction in hospital utilization among high-risk patients.

Suboptimal LDL-C Lowering in High-risk Patients with Coronary Heart Disease or Atherosclerotic Vascular Disease in the U.S.

2013 ◽  
Vol 7 (3) ◽  
pp. 247-248
Author(s):  
Elizabeth Marrett ◽  
Changgeng Zhao ◽  
Ning Jackie Zhang ◽  
Qiaoyi Zhang ◽  
Dena Ramey ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
High Risk ◽  
Vascular Disease ◽  
Atherosclerotic Vascular Disease ◽  
High Risk Patients ◽  
Risk Patients ◽  
The U.S
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