[Recommendations to develop Care Models for patients with Heart Failure (MAIC Project) from macromanagement].

Autor:	Comin-Colet J; Hospital Universitario de Bellvitge y IDIBELL, Hospitalet de Llobregat, Barcelona; Departamento de Ciencias Médicas, Facultad de Medicina, Universidad de Barcelona. Electronic address: josepcomin@gmail.com., Calero-Molina E; Hospital Universitario de Bellvitge, Barcelona., Corbella X; Servicio de Medicina Interna. Hospital Universitario de Bellvitge-IDIBELL. Barcelona; Cátedra Hestia en Atención Integrada Social y Sanitaria, Facultad de Medicina, Universitat Internacional de Catalunya, Barcelona., Muñiz J; Universidade da Coruña - Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña; Centro de Investigación en Red en Enfermedades Cardiovasculares (CIBERCV). Instituto de Salud Carlos III, Madrid., San Saturnino M; Presidenta de la Asociación Cardioalianza (Asociación Española de organizaciones de pacientes con enfermedades cardiovasculares)., Ibarrola C; Parlamento de Navarra. Médico de Familia y Ex-Gerente del Servicio Navarro de Salud-Osasunbidea. Pamplona, Navarra.
Jazyk:	Spanish; Castilian
Zdroj:	Journal of healthcare quality research [J Healthc Qual Res] 2022 Mar-Apr; Vol. 37 (2), pp. 100-109. Date of Electronic Publication: 2021 Nov 02.
DOI:	10.1016/j.jhqr.2021.09.003
Abstrakt:	Background: The general objective of the study was to reflect on the key factors to advance in optimal models of care for Heart Failure (HF) and specifically, on the macromanagement elements most necessary for the development of comprehensive HF management models. Material and Methods: An Advisory Committee, composed of 15 experts and a multidisciplinary group of 31 additional experts, was appointed, together forming a Delphi panel of 46 experts. Based on a systematic bibliographic review and the analysis of the care course of the patient with HF, an initial battery of key factors for the development of HF care models was identified by the Advisory Committee. This proposal was adjusted and prioritized by the Delphi panel applying Delphi Rand/UCLA methodology. Results: After two Delphi rounds, 75 key factors grouped into 7 challenges were defined. In the first of the challenges, related to the development of HF management models, 16 key factors were identified, 7 of which were valued as high priority and related to the establishment of common objectives, resources for the continuity of care and improving the measurement of health outcomes. Conclusions: The definition of management elements at the macro level was considered a priority to advance in the development of optimal models of assistance to HF. (Copyright © 2021 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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