Innovative Technology – Enhancing Healthcare for All (Vol. 25, No. 5, Full Issue)

2021 ◽  
Vol 25 (05) ◽  
Keyword(s):  
Heart Failure ◽  
Health Outcomes ◽  
Digital Technology ◽  
Research Study ◽  
Intravenous Iron ◽  
Healthcare Systems ◽  
Innovative Technology ◽  
Heart Failure Patients ◽  
New Methods ◽  
Improve Health

For the month of May 2021, APBN discovers how the used of digital technology and innovative new methods can help treatment, prevention and management of diseases. In the Columns section, we have a contribution by Son Pham, Country Manager for GE Healthcare Vietnam and the CEO for GE Vietnam on how technology has helped healthcare systems in Vietnam during the COVID-19 pandemic. In the Spotlights section, read about a research study by the National Heart Centre Singapore (NHCS) and its international partners affirm the use of intravenous iron to help heart failure patients improve health outcomes.

Complexity of management and health outcomes in a prospective cohort study of 573 heart failure patients in Australia: does more equal less?

2013 ◽  
Vol 22 (11-12) ◽  
pp. 1629-1638 ◽  
Author(s):  
Andrea Driscoll ◽  
Andrew Tonkin ◽  
Andrew Stewart ◽  
Linda Worrall-Carter ◽  
David R Thompson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cohort Study ◽  
Health Outcomes ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Heart Failure Patients

scholarly journals International Consortium for Health Outcomes Measurement (ICHOM): Standardized Patient-Centered Outcomes Measurement Set for Heart Failure Patients

2020 ◽  
Vol 8 (3) ◽  
pp. 212-222 ◽  
Author(s):  
Daniel J.P. Burns ◽  
Jason Arora ◽  
Oluwakemi Okunade ◽  
John F. Beltrame ◽  
Sabrina Bernardez-Pereira ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Outcomes ◽  
Standardized Patient ◽  
Patient Centered ◽  
Outcomes Measurement ◽  
International Consortium ◽  
Heart Failure Patients

scholarly journals Differences between intravenous iron products: focus on treatment of iron deficiency in chronic heart failure patients

2019 ◽  
Vol 6 (2) ◽  
pp. 241-253 ◽  
Author(s):  
Alejandro Martin‐Malo ◽  
Gerrit Borchard ◽  
Beat Flühmann ◽  
Claudio Mori ◽  
Donald Silverberg ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Iron Deficiency ◽  
Intravenous Iron ◽  
Heart Failure Patients

scholarly journals Peritoneal Dialysis for Heart Failure

2015 ◽  
Vol 35 (6) ◽  
pp. 645-649 ◽  
Author(s):  
Harish Puttagunta ◽  
Stephen G. Holt
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
Peritoneal Dialysis ◽  
Randomized Trials ◽  
The Elderly ◽  
Healthcare Systems ◽  
Heart Failure Patients ◽  
Significant Burden ◽  
Survival And Growth ◽  
Combined Strategy

Heart failure (HF) is a common and important cause of morbidity and mortality in the elderly, imposing a significant burden on healthcare systems. Better management of ischemic heart disease has resulted in increased survival and growth in the number of prevalent heart failure patients, but co-existing renal impairment complicates management and limits traditional therapeutic options. Ultrafiltration (UF) techniques have shown promise in the treatment of diuretic-resistant HF, but the early successes of extracorporeal treatments has not been confirmed by randomized trials. Peritoneal dialysis (PD) may be cheaper and provide more effective UF therapy in selected patients and this review examines the issues surrounding the use of PD for such patients. Whist many nephrologists are enthusiastic about the use of this technique, making a more cogent case for PD in this setting for cardiologists is likely to need a combined strategy of demonstrating improvement in individual cases and further study of potential medicoeconomic benefits.

scholarly journals Improving the design of heart failure care from the perspective of frontline providers and administrators: A qualitative case study of a large, urban health system

2020 ◽  
Vol 10 ◽  
pp. 2235042X2092417
Author(s):  
Husayn Marani ◽  
Hayley Baranek ◽  
Howard Abrams ◽  
Michael McDonald ◽  
Megan Nguyen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health System ◽  
Chronic Care ◽  
Qualitative Case Study ◽  
Heart Failure Patients ◽  
Heart Failure Care ◽  
System Functioning ◽  
Improve Health System ◽  
Improve Health

Background: Heart failure patients often present with frailty and/or multi-morbidity, complicating care and service delivery. The Chronic Care Model (CCM) is a useful framework for designing care for complex patients. It assumes responsibility of several actors, including frontline providers and health-care administrators, in creating conditions for optimal chronic care management. This qualitative case study examines perceptions of care among providers and administrators in a large, urban health system in Canada, and how the CCM might inform redesign of care to improve health system functioning. Methods: Sixteen semi-structured interviews were conducted between August 2014 and January 2016. Interpretive analysis was conducted to identify how informants perceive care among this population and the extent to which the design of heart failure care aligns with elements of the CCM. Results: Current care approaches could better align with CCM elements. Key changes to improve health system functioning for complex heart failure patients that align with the CCM include closing knowledge gaps, standardizing treatment, improving interdisciplinary communication and improving patient care pathways following hospital discharge. Conclusions: The CCM can be used to guide health system design and interventions for frail and multi-morbid heart failure patients. Addressing care- and service-delivery barriers has important clinical, administrative and economic implications.

scholarly journals Living with heart failure during the COVID-19 pandemic: an interpretative phenomenological analysis

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
AM Trenta ◽  
D Ausili ◽  
R Caruso ◽  
M Moro ◽  
T Nania ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coping Strategies ◽  
Interpretative Phenomenological Analysis ◽  
Healthcare Systems ◽  
Phenomenological Analysis ◽  
The Novel ◽  
Targeted Interventions ◽  
Heart Failure Patients ◽  
Patients With Heart Failure ◽  
Novel Coronavirus

Abstract Funding Acknowledgements Type of funding sources: None. Background The COVID-19 outbreak has presented significant challenges for healthcare systems worldwide, which are responsible for guaranteeing access to care for all patients and limiting the spread of the virus. The necessary changes in the healthcare systems have deeply impacted not only people affected by the novel coronavirus, but also those with chronic conditions, such as heart failure. Since the beginning of the pandemic, a reduction of routine visits and use of emergency services by patients with heart failure has been observed, and these patients have tended to visit the hospital only when their symptoms were severe. The consequences of the COVID-19 pandemic on heart failure patients’ lives have not yet been investigated. Purpose To explore the lived experiences of patients with heart failure during the COVID-19 pandemic. Methods A qualitative investigation based on interpretative phenomenological analysis was conducted. Fourteen patients with heart failure (12 males and 2 females with a median age of 68 years) completed in-depth, semi-structured interviews. Triangulation, journaling and member checking were used to improve the rigour of the study. Results Three themes describing the lived experience of patients were identified: "being vulnerable", "hanging in the balance", and "coping strategies". Patients reported feeling particularly vulnerable to the novel coronavirus due to their clinical conditions, and therefore they experienced fear and anxiety. Changes in the healthcare systems due to the COVID-19 pandemic created a sense of uncertainty that patients described as a feeling of hanging in the balance. However, despite these relevant difficulties, heart failure patients have managed to deal with the situation using various coping strategies, such as acceptance, recreational activities, family reorganization, and use of technology. Conclusions The COVID-19 outbreak deeply affected the lives of patients with heart failure, and our results highlight the relevant difficulties they have faced. We point out that there is a great need for targeted interventions, and these could be developed taking into consideration the coping strategies described in the study.

scholarly journals Applying Heart Failure Management to Improve Health Outcomes: But WHICH One?

2017 ◽  
Vol 3 (2) ◽  
pp. 113 ◽  
Author(s):  
Yih-Kai Chan ◽  
Alice M David ◽  
Caitlyn Mainland ◽  
Lei Chen ◽  
Simon Stewart ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Outcomes ◽  
Patient Population ◽  
Models Of Care ◽  
Heart Failure Management ◽  
Model Of Care ◽  
Pragmatic Approach ◽  
Home Based ◽  
Improve Health

We report on our learning from many years of research testing the value of nurse-led, multidisciplinary, home-based management of heart failure. We discuss and highlight the key challenges we have experienced in testing this model of care relative to alternatives and evolving patient population. Accordingly, we propose a pragmatic approach to adapt current models of care to meet the needs of increasingly complex (and costly) patients with multimorbidity.

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