Abstract
SummaryHeart failure (HF) is common and is associated with high morbidity, mortality and high health expenditure. A multidisciplinary disease management plan (DMP) can reduce morbidity and mortality, save costs and improve the quality of life. In Austria, three HF-specific DMPs are currently in a project phase and four established DMPs are active. Although programs are widely heterogeneous with respect to their intervention type, they pursue the same interventional goal by supporting seamless care between inpatient and community care settings with a multidisciplinary team. This survey presents a systematic survey of the HF-specific DMPs in Austria. Disparities between programs are highlighted and discussed. The nationwide establishment of HF-specific DMPs that integrate primary care and cardiology services including a regulation of the remuneration of stakeholders and program infrastructure is needed to decrease the burden of HF for both the individual and society.
Highlights
Heart failure (HF) is a common chronic medical problem that is associated with considerable morbidity and mortality [1,2,3]
Kardiomobil Salzburg/Kärnten is designed primarily as a nurse-based home visiting program and the IVH OÖ-Pilot is conceptionally a home and office-based program. It is the primary goal of all programs to prevent readmissions among patients transitioning from hospitalization for acute heart failure (AHF) to outpatient healthcare facilities and to improve the quality of life (QoL)
In HerzMobil Tirol/Stmk the nurse responds to an automatic event detection program that signals the need for therapeutic actions based on patient notes and/or missing or off-limit measurements, where limits are individually defined by the network physician
Summary
Heart failure (HF) is a common chronic medical problem that is associated with considerable morbidity and mortality [1,2,3]. Most programs use hybrid tactics that combine either home visiting (HerzMobil Tirol/Stmk) or clinic-based (Krems Model, KardioStabil Braunau) approaches and telehealth care. Kardiomobil Salzburg/Kärnten is designed primarily as a nurse-based home visiting program and the IVH OÖ-Pilot is conceptionally a home and office-based program It is the primary goal of all programs to prevent readmissions among patients transitioning from hospitalization for acute heart failure (AHF) to outpatient healthcare facilities and to improve the quality of life (QoL). A specialty-trained HF nurse meets with the patient while still in hospital (Krems Model, HerzMobil Tirol/Stmk, KardioStabil Braunau, IVH OÖ-Pilot) or at the latest within 2 weeks after discharge (Kardiomobil Salzburg/Kärnten) for extensive patient education including weight monitoring, medication adherence, symptom recognition, and diet. In HerzMobil Tirol/Stmk patient education is supported by a patient brochure and includes training in
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