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Current Heart Failure Reports

, Volume 15, Issue 6, pp 357–367 | Cite as

Setting Up a Heart Failure Program in 2018: Moving Towards New Paradigm(s)

  • Nadia Bouabdallaoui
  • Anique DucharmeEmail author
Implementation (L. Rohde, Section Editor)
  • 190 Downloads
Part of the following topical collections:
  1. Topical Collection on Implementation

Abstract

Purpose of Review

Heart failure (HF) is the first cause of hospitalization in the elderly in Western countries, generating tremendous healthcare costs. Despite the spread of multidisciplinary post-discharge programs, readmission rates have remained unchanged over time. We review the recent developments in this setting.

Recent Findings

Recent data plead for global reorganization of HF care, specifically targeting patients at high risk for further readmission, as well as a stronger involvement of primary care providers (PCP) in patients’ care plan. Besides, tools, devices, and new interdisciplinary expertise have emerged to support and be integrated into those programs; they have been greeted with great enthusiasm, but their routine applicability remains to be determined.

Summary

HF programs in 2018 should focus on pragmatic assessments of patients that will benefit the most from the multidisciplinary care; delegating the management of low-risk patients to trained PCP and empowering the patient himself, using the newly available tools as needed.

Keywords

Chronic heart failure Disease management Heart failure programs Multidisciplinary care Mortality Healthcare cost Quality of care 

Notes

Acknowledgement

Dr Ducharme holds the University of Montreal's Fondation Marcelle et Jean Coutu, Cal et Janine Moisan Chair for improving practices in advanced heart failure.

Compliance with Ethical Standards

Conflict of Interest

Nadia Bouabdallaoui and Anique Ducharme declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance • Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Medicine, Montreal Heart InstituteUniversité de MontréalMontrealCanada

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