DIAGNOSIS AND MANAGEMENT OF CHRONIC HEART FAILURE: HOW TO REESTABLISH A KEY ROLE FOR THE PRIMARY CARE PHYSICIAN?

2004 ◽  
Vol 59 (5) ◽  
pp. 300-303
Author(s):  
M. A. Goethals ◽  
M. Vanderheyden
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Chronic Heart Failure ◽  
Primary Care Physician ◽  
Care Physician ◽  
Diagnosis And Management

scholarly journals Impact of the Implementation of Project Re-Engineered Discharge for Heart Failure patients at a Veterans Affairs Hospital at the Central Arkansas Veterans Healthcare System

2017 ◽  
Vol 53 (4) ◽  
pp. 266-271 ◽  
Author(s):  
Pooja H. Patel ◽  
Kimberly W. Dickerson
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Primary Care Physician ◽  
Hospital Readmission ◽  
Readmission Rate ◽  
Cost Savings ◽  
Care Physician ◽  
Day Hospital ◽  
All Cause Mortality ◽  
The Impact

Background: Hospitalizations due to chronic diseases such as heart failure (HF) continue to increase worldwide. Fragmentation of care while transitioning from one care setting to another is an important factor contributing to hospitalizations. Fragmented discharge tools have been implemented; however, the impact of a comprehensive interdisciplinary discharge tool has not been previously studied. Objective: The goal of this study is to assess the impact of the implementation of Project Re-Engineered Discharge (RED) on the incidence of hospital readmissions, all-cause mortality, primary care physician follow-up rate, and cost savings for patients with HF. Methods: This was a single-center, retrospective, cohort study of patients admitted with HF exacerbation at the Central Arkansas Veterans Healthcare System (CAVHS). A random sample of 100 patients admitted prior to implementation of Project RED and 50 patients after Project RED intervention were included in the study. The primary end point was 30-day hospital readmission for HF exacerbation. The co-secondary end points were all-cause mortality, cost savings, and rate of primary care physician appointments scheduled as well as attended per postdischarge recommendations. Results: The 30-day hospital readmission rate was 28% in the pre–Project RED group, and it was 18% in the post–Project RED group ( P = .18). The all-cause mortality was significantly lower in the post–Project RED group as compared with the pre–Project RED group (18% vs 41%, P = .04). More patients in the post–Project RED group attended an outpatient primary care appointment as recommended per postdischarge instructions (40% vs 19%, P = .006). In addition, with the decrease in hospital 30-day readmission rate in the post–Project RED group, there was a cost savings of $1453 per patient visit for HF exacerbation. Conclusions: Coordination of care using a discharge tool like Project RED should be utilized in institutions to improve patient outcomes as well as patient safety while decrease the overall health care cost.

scholarly journals Diagnosis and Management of Dementia for Primary Care-physician

2018 ◽  
Vol 107 (4) ◽  
pp. 779-784
Author(s):  
Tadanori Hamano ◽  
Asako Ueno ◽  
Tatsuhiko Ito ◽  
Osamu Yamamura ◽  
Masayuki Yamamoto ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Care Physician ◽  
Diagnosis And Management

A European Perspective on Depression in the Community: The DEPRES Study

CNS Spectrums ◽  
2002 ◽  
Vol 7 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Saena Arbabzadeh-Bouchez ◽  
Andre Tylee ◽  
Jean-Pierre Lépine
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
General Population ◽  
Primary Care Physician ◽  
Care Physician ◽  
European Perspective ◽  
European Study ◽  
Diagnosis And Management ◽  
Treatment Of Depression ◽  
Different Types

ABSTRACTDepression is one of the most prevalent disorders in the general population, causing personal and social disability and impairment. Major studies assessing the diagnosis and management of depression have shown that it is often underdiagnosed and undertreated. A pan-European study aimed at assessing the extent and consequences of depression in six different countries is reported in this article. Different types of depressive profiles are analyzed and their respective management has been compared. The importance of improving diagnosis and treatment of depression is underlined. Appropriate management of depression depends on the recognition of depressive symptoms by patients, their possibility of seeking care, and the ability of the primary care physician to recognize the disorder and prescribe the appropriate medicines. Improvement in all of these fields is necessary.

Sign in / Sign up

Export Citation Format

Share Document