A systematic approach to chronic heart failure care: A consensus statement

Journal article


Page, Karen, Marwick, Thomas, Lee, Rebecca, Grenfell, Robert, Abhayaratna, Walter, Aggarwal, Anu, Briffa, Tom, Cameron, Janette, Davidson, Patricia and Driscoll, Andrea. (2014). A systematic approach to chronic heart failure care: A consensus statement. Medical Journal of Australia. 201(3), pp. 146 - 150. https://doi.org/10.5694/mja14.00032
AuthorsPage, Karen, Marwick, Thomas, Lee, Rebecca, Grenfell, Robert, Abhayaratna, Walter, Aggarwal, Anu, Briffa, Tom, Cameron, Janette, Davidson, Patricia and Driscoll, Andrea
Abstract

- The National Heart Foundation of Australia assembled an expert panel to provide guidance on policy and system changes to improve the quality of care for people with chronic heart failure (CHF). The recommendations have the potential to reduce emergency presentations, hospitalisations and premature death among patients with CHF.
- Best‐practice management of CHF involves evidence‐based, multidisciplinary, patient‐centred care, which leads to better health outcomes. A CHF care model is required to achieve this.
- Although CHF management programs exist, ensuring access for everyone remains a challenge. This is particularly so for Aboriginal and Torres Strait Islander peoples, those from non‐metropolitan areas and lower socioeconomic backgrounds, and culturally and linguistically diverse populations.
- Lack of data and inadequate identification of people with CHF prevents efficient patient monitoring, limiting information to improve or optimise care. This leads to ineffectiveness in measuring outcomes and evaluating the CHF care provided. Expanding current cardiac registries to include patients with CHF and developing mechanisms to promote data linkage across care transitions are essential.
- As the prevalence of CHF rises, the demand for multidisciplinary workforce support will increase. Workforce planning should provide access to services outside of large cities, one of the main challenges it is currently facing.
- To enhance community‐based management of CHF, general practitioners should be empowered to lead care. Incentive arrangements should favour provision of care for Aboriginal and Torres Strait Islander peoples, those from lower socioeconomic backgrounds and rural areas, and culturally and linguistically diverse populations.
- Ongoing research is vital to improving systems of care for people with CHF. Future research activity needs to ensure the translation of valuable knowledge and high‐quality evidence into practice.

Year2014
JournalMedical Journal of Australia
Journal citation201 (3), pp. 146 - 150
PublisherWiley-Blackwell Publishing Asia
ISSN0025-729X
Digital Object Identifier (DOI)https://doi.org/10.5694/mja14.00032
Scopus EID2-s2.0-84905659297
Page range146 - 150
Research GroupMary MacKillop Institute for Health Research
Publisher's version
File Access Level
Controlled
Place of publicationAustralia
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Riegel, Barbara, Dickson, Victoria, Cameron, Jan, Johnson, Jerry, Bunker, Stephen, Page, Karen and Worrall-Carter, Linda. (2010). Symptom recognition in elders with heart failure. Journal of Nursing Scholarship. 42(1), pp. 92 - 100. https://doi.org/10.1111/j.1547-5069.2010.01333.x
Self-Care Behaviours and Heart Failure: Does Experience with Symptoms Really Make a Difference?
Cameron, Janette, Worrall-Carter, Linda, Page, Karen and Stewart, Simon. (2010). Self-Care Behaviours and Heart Failure: Does Experience with Symptoms Really Make a Difference? European Journal of Cardiovascular Nursing. 9(2), pp. 92 - 100. https://doi.org/10.1016/j.ejcnurse.2009.10.004
Developing an instrument to measure heart failure disease management program intensity and complexity
Riegel, Barbara, Lee, C. and Sochalski, Julie. (2010). Developing an instrument to measure heart failure disease management program intensity and complexity. Circulation: Cardiovascular Quality and Outcomes. 3(3), pp. 324 - 330. https://doi.org/10.1161/CIRCOUTCOMES.109.877324
Does cognitive impairment predict poor self-care in patients with chronic heart failure?
Cameron, Janette, Worrall-Carter, Linda, Page, Karen, Riegel, Barbara, Lo, Sing Kai and Stewart, Simon. (2010). Does cognitive impairment predict poor self-care in patients with chronic heart failure? European Journal of Heart Failure. 12(5), pp. 508 - 515. https://doi.org/10.1093/eurjhf/hfq042
Gender-specific barriers and facilitators to heart failure self-care: A mixed methods study
Riegel, Barbara, Dickson, Victoria, Lisa, Kuhn,, Page, Karen and Worrall-Carter, Linda. (2010). Gender-specific barriers and facilitators to heart failure self-care: A mixed methods study. International Journal of Nursing Studies. 47(7), pp. 888 - 895. https://doi.org/10.1016/j.ijnurstu.2009.12.011
Recovering from an acute cardiac event- the relationship between the depression and life satisfaction.
Page, Karen, Davidson, Patricia, Edward, Karen-Leigh, Allen, Josh, Cummins, Robert, Thompson, David and Worrall-Carter, Linda. (2010). Recovering from an acute cardiac event- the relationship between the depression and life satisfaction. Journal of Clinical Nursing. 19(June), pp. 736 - 743. https://doi.org/10.1111/j.1365-2702.2009.03106.x
The nexus between cognitive function and self-care ablility in patients with chronic heart failure
Cameron, Janette. (2009). The nexus between cognitive function and self-care ablility in patients with chronic heart failure [Thesis]. https://doi.org/10.4226/66/5a95f334c681d
An update on the self-care of heart failure index
Riegel, Barbara, Lee, C., Dickson, Victoria and Carlson, Beverley. (2009). An update on the self-care of heart failure index. Journal of Cardiovascular Nursing. 24(6), pp. 485 - 497. https://doi.org/10.1097/JCN.0b013e3181b4baa0
Gender differences in heart failure self-care : A multinational cross-sectional study
Lee, Christopher S., Reigel, Barbara, Driscoll, Andrea, Suwanno, Jom, Moser, Debra K., Lennie, Terry A., Dickson, Victoria V., Cameron, Jan and Worrall-Carter, Linda. (2009). Gender differences in heart failure self-care : A multinational cross-sectional study. International Journal of Nursing Studies. 46(11), pp. 1485-1495. https://doi.org/10.1016/j.ijnurstu.2009.04.004
Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure
Cameron, Janette, Worrall-Carter, Linda, Riegel, Barbara, Lo, Sing Kai and Stewart, Simon. (2009). Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure. Heart & Lung: the journal of acute and critical care. 38(5), pp. 410 - 418. https://doi.org/10.1016/j.hrtlng.2008.11.004
State of the science: Promoting self-care in persons with heart failure: A scientific statement from the american heart association
Riegel, Barbara, Moser, Debra, Anker, Stefan D., Appel, Lawrence J., Dunbar, S B., Grady, Kathleen L., Gurvitz, Michelle Z., Havranek, Edward P., Lee, C, Lindenfeld, Joann, Peterson, Pamela N., Pressler, Susan, Schocken, Douglas D. and Whellan, David J.. (2009). State of the science: Promoting self-care in persons with heart failure: A scientific statement from the american heart association. Circulation. 120(12), pp. 1141 - 1163. https://doi.org/10.1161/CIRCULATIONAHA.109.192628
The relationship between self-care and health status domains in Thai patients with heart failure
Lee, C., Suwanno, Jom and Riegel, Barbara. (2009). The relationship between self-care and health status domains in Thai patients with heart failure. European Journal of Cardiovascular Nursing. 8(4), pp. 259 - 266. https://doi.org/10.1016/j.ejcnurse.2009.04.002
Measuring self-care in chronic heart failure: A review of the psychometric properties of clinical instruments
Cameron, Janette, Worrall-Carter, Linda, Driscoll, Andrea and Stewart, Simon. (2009). Measuring self-care in chronic heart failure: A review of the psychometric properties of clinical instruments. The Journal of Cardiovascular Nursing. 24(6), pp. E10 - E22. https://doi.org/10.1097/JCN.0b013e3181b5660f
Heart failure self-care in developed and developing countries
Riegel, Barbara, Driscoll, Andrea, Suwanno, Jom, Moser, Debra K., Lennie, Terry A., Chung, Misook L., Wu, Jia-Rong, Dickson, Victoria Vaughan, Carlson, Beverley and Cameron, Janette. (2009). Heart failure self-care in developed and developing countries. Journal of Cardiac Failure. 15(6), pp. 508 - 516. https://doi.org/10.1016/j.cardfail.2009.01.009
The impact of an ICU liaison nurse service on patient outcomes
Elliott, Suzanne, Ernest, David, Doric, Andrea, Page, Karen, Worrall-Carter, Linda, Thalib, Lukman and Chaboyer, Wendy. (2008). The impact of an ICU liaison nurse service on patient outcomes. Critical Care and Resuscitation. 10(4), pp. 296 - 300.
Returning to work: Exploring the experiences of women with acute coronary syndromes
Parry, A., Worrall-Carter, Linda, Page, Karen, Kuhn, Lisa, DiGiacomo, Michelle and Davidson, Patricia. (2007). Returning to work: Exploring the experiences of women with acute coronary syndromes. British Journal of Cardiac Nursing. 2(6), pp. 292 - 301.
Extent of heart failure self-care as an endpoint to patient education: A review of the literature
Cameron, Jan, Worrall-Carter, Linda, Driscoll, Andrea, New, G. and Stewart, Simon. (2007). Extent of heart failure self-care as an endpoint to patient education: A review of the literature. British Journal of Cardiac Nursing. 2(4), pp. 188 - 197.
Do clinicians know how to use pulse oximetry? A literature review and clinical implications
Elliott, Malcolm, Tate, R. and Page, Karen. (2006). Do clinicians know how to use pulse oximetry? A literature review and clinical implications. Australian Critical Care. 19(4), pp. 139 - 144. https://doi.org/10.1016/S1036-7314(06)80027-5
Prognostic importance of cognitive impairment in chronic heart failure patients : Does specialist disease management make a difference?
McLennan, Skye, Pearson, Sue, Cameron, Janette and Stewart, Simon. (2006). Prognostic importance of cognitive impairment in chronic heart failure patients : Does specialist disease management make a difference? European Journal of Heart Failure. 8(5), pp. 494 - 501. https://doi.org/10.1016/j.ejheart.2005.11.013