E F Philbin1. 1. Section of Heart Failure and Cardiac Transplantation, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, Mich 48202, USA.
Abstract
OBJECTIVE: To evaluate the impact of comprehensive, multidisciplinary management programs on the process of care, resource utilization, health care costs, and clinical outcomes in patients with congestive heart failure. MEASUREMENTS AND MAIN RESULTS: A MEDLINE search identified seven english-language reports that compared the process of care, clinical outcomes, or economic variables related to implementation of a multidisciplinary congestive heart failure management program of at least 3 month's duration to a control or reference group. The primary intent of the programs was to emphasize compliance with recommended therapeutic principles, enhance patient education, and provide careful patient surveillance. Five of the studies reported improved functional status, aerobic capacity, or patient satisfaction. Six of the studies reported a 50% to 85% reduction in the risk of hospital admission. Three studies reported economic analyses with suggestive but not compelling evidence of financial benefit. CONCLUSIONS: Comprehensive, multidisciplinary management programs for congestive heart failure can improve functional status and reduce the risk of hospital admission, and they may lower medical costs.
OBJECTIVE: To evaluate the impact of comprehensive, multidisciplinary management programs on the process of care, resource utilization, health care costs, and clinical outcomes in patients with congestive heart failure. MEASUREMENTS AND MAIN RESULTS: A MEDLINE search identified seven english-language reports that compared the process of care, clinical outcomes, or economic variables related to implementation of a multidisciplinary congestive heart failure management program of at least 3 month's duration to a control or reference group. The primary intent of the programs was to emphasize compliance with recommended therapeutic principles, enhance patient education, and provide careful patient surveillance. Five of the studies reported improved functional status, aerobic capacity, or patient satisfaction. Six of the studies reported a 50% to 85% reduction in the risk of hospital admission. Three studies reported economic analyses with suggestive but not compelling evidence of financial benefit. CONCLUSIONS: Comprehensive, multidisciplinary management programs for congestive heart failure can improve functional status and reduce the risk of hospital admission, and they may lower medical costs.
Authors: R Kornowski; D Zeeli; M Averbuch; A Finkelstein; D Schwartz; M Moshkovitz; B Weinreb; R Hershkovitz; D Eyal; M Miller Journal: Am Heart J Date: 1995-04 Impact factor: 4.749
Authors: D E Johnstone; A Abdulla; J M Arnold; V Bernstein; M Bourassa; J Brophy; R Davies; M Gardner; R Hoeschen; L Mickleborough Journal: Can J Cardiol Date: 1994 Jul-Aug Impact factor: 5.223
Authors: Kyle R Allen; Susan E Hazelett; David Jarjoura; Kathy Wright; Susan M Fosnight; Denise J Kropp; Keding Hua; Eugene W Pfister Journal: Popul Health Manag Date: 2011-02-15 Impact factor: 2.459
Authors: Adrian H Zai; Kit M Farr; Richard W Grant; Elizabeth Mort; Timothy G Ferris; Henry C Chueh Journal: J Am Med Inform Assoc Date: 2009-04-23 Impact factor: 4.497
Authors: Lisa Sanderson Cox; Ana-Paula Cupertino; Laura M Mussulman; Niaman Nazir; K Allen Greiner; Jonathan D Mahnken; Jasjit S Ahluwalia; Edward F Ellerbeck Journal: Prev Med Date: 2008-05-03 Impact factor: 4.018