Implementing standards of care for heart failure patients in general practice - the IMPACT-B study protocol.
Heart failure
care pathway
disease management
general practice
multidisciplinary
transitional care
Journal
Acta cardiologica
ISSN: 1784-973X
Titre abrégé: Acta Cardiol
Pays: England
ID NLM: 0370570
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
pubmed:
10
11
2020
medline:
26
11
2021
entrez:
9
11
2020
Statut:
ppublish
Résumé
Heart failure (HF) is an important health problem. Most chronic HF management occurs in primary care. Although guidelines exist, there is an important implementation gap in current HF care in Belgium. We will conduct a non-randomised, non-controlled prospective observational trial to implement guideline-recommended disease management interventions in primary care in Leuven, a region of ±100.000 inhabitants. These interventions include education of general practitioners, reimbursement of the analysis of circulating natriuretic peptides and audits in the electronic health record (EHR), training and implementation of HF educators in primary care, and a protocol to structure transition to primary care after discharge. The main objective is to study and implement interventions in an iterative implementation process. We will evaluate the implementation of several guideline-recommended disease management interventions to optimise the diagnosis and treatment of heart failure in a real-world primary care setting. NCT04334447 (clinicaltrials.gov).
Sections du résumé
BACKGROUND
BACKGROUND
Heart failure (HF) is an important health problem. Most chronic HF management occurs in primary care. Although guidelines exist, there is an important implementation gap in current HF care in Belgium.
METHODS
METHODS
We will conduct a non-randomised, non-controlled prospective observational trial to implement guideline-recommended disease management interventions in primary care in Leuven, a region of ±100.000 inhabitants. These interventions include education of general practitioners, reimbursement of the analysis of circulating natriuretic peptides and audits in the electronic health record (EHR), training and implementation of HF educators in primary care, and a protocol to structure transition to primary care after discharge. The main objective is to study and implement interventions in an iterative implementation process.
CONCLUSIONS
CONCLUSIONS
We will evaluate the implementation of several guideline-recommended disease management interventions to optimise the diagnosis and treatment of heart failure in a real-world primary care setting.
TRIAL REGISTRATION
BACKGROUND
NCT04334447 (clinicaltrials.gov).
Identifiants
pubmed: 33161831
doi: 10.1080/00015385.2020.1844504
doi:
Banques de données
ClinicalTrials.gov
['NCT04334447']
Types de publication
Controlled Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM