Abstract
The increased numbers of older and frail patients with heart failure (HF) means there is an urgent need to establish regional collaborative systems for medical and nursing care. However, expectations related to collaborative HF care among medical and care staff remain unclear. We conducted a questionnaire survey with staff in hospitals, clinics, and nursing care facilities (NCFs) who had experienced collaboration through the common HF collaborative pathway in the western region of Tottori Prefecture, Japan, from July 2019 to July 2020. We received 150 responses from hospitals and 41 responses from clinics and NCFs. Following introduction of the collaborative pathway, 57% of respondents from hospitals, 35% from clinics, and 71% from NCFs rated collaboration as improved. Staff from hospitals and clinics were most satisfied with improved education interventions following implementation of the collaborative pathway, and NCF staff were most satisfied with improved information sharing. Staff from hospitals and NCFs placed the highest importance on improving information sharing through collaboration, and clinic staff placed the highest importance on improving efficiency. The needs for collaborative HF care differ between hospitals, clinics, and NCFs. A collaboration program should be designed to meet the different needs of diverse staff in the community.
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References
Yan J, Pan Y, He Y, Wang R, Shao W, Dong S (2020) The effects of serum iron level without anemia on long-term prognosis of patients with coronary heart disease complicated with chronic heart failure: a retrospective cohort study. Heart Vessels 35:1419–1428
Kono Y, Izawa H, Aoyagi Y, Ishikawa A, Sugiura T, Mori E, Yanohara R, Ishiguro T, Yamada R, Okumura S, Fujiwara W, Hayashi M, Saitoh E (2020) Predictive impact of early mobilization on rehospitalization for elderly Japanese heart failure patients. Heart Vessels 35:531–536
Yasuda S, Nakao K, Nishimura K, Miyamoto Y, Sumita Y, Shishido T, Anzai T, Tsutsui H, Ito H, Komuro I, Saito Y, Ogawa H, on the behalf of JROAD Investigators, (2016) The current status of cardiovascular medicine in Japan- analysis of a large number of health records from a nationwide claim-based database, JROAD-DPC. Circ J 80:2327–2335
Yaku H, Ozasa N, Morimoto T, Inuzuka Y, Tamaki Y, Yamamoto E, Yoshikawa Y, Kitai T, Taniguchi R, Iguchi M, Kato M, Takahashi M, Jinnai T, Ikeda T, Nagao K, Kawai T, Komasa A, Nishikawa R, Kawase Y, Morinaga T, Su K, Kawato M, Sasaki K, Toyofuku M, Furukawa Y, Nakagawa Y, Ando K, Kadota K, Shizuta S, Ono K, Sato Y, Kuwahara K, Kato T, Kimura T; KCHF Study Investigators (2018) Demographics, management, and in-hospital outcome of hospitalized acute heart failure syndrome patients in contemporary real clinical practice in Japan- observations from the prospective, multicenter kyoto congestive heart failure (KCHF) Registry. Circ J 82:2811–2819
Albert NM, Barnason S, Deswal A, Hernandez A, Kociol R, Lee E, Paul S, Ryan CJ, White-Williams C; American Heart Association Complex Cardiovascular Patient and Family Care Committee of the Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research (2015) Transitions of care in heart failure: a scientific statement from the American Heart Association. Circ Heart Fail 8:384–409
Kuwabara M, Mori M, Komoto S (2021) Japanese National plan for promotion of measures against cerebrovascular and cardiovascular disease. Circulation 143:1929–1931
Kinugasa Y, Saitoh M, Ikegame T, Ikarashi A, Kadota K, Kamiya K, Kohsaka S, Mizuno A, Miyajima I, Nakane E, Nei A, Shibata T, Yokoyama H, Yumikura S, Yumino D, Watanabe N, Isobe M; Research Team for the Provision of Heart Failure Care Centered on General Practitioners in the Community (2021) Differences in priorities for heart failure management between cardiologists and general practitioners in Japan. Circ J 85:1565–1574
Zamami Y, Imai T, Imanishi M, Takechi K, Shiraishi N, Koyama T, Sagara H, Shiino Y, Sendo T, Ishizawa K (2016) Evaluation of pharmaceutical lifesaving skills training oriented pharmaceutical intervention. J Pharm Health Care Sci 2:21
Heart Failure Education Video. The research team for provision of HF care centered on general practitioners in the community. https://plaza.umin.ac.jp/isobegroup/. Accesed in 16 Sept 2021
Heart failure handbook. The Japan Heart Failure Society. http://www.asas.or.jp/jhfs/topics/shinhuzentecho.html. Accesed in 16 Sept 2021
Lee DS, Stukel TA, Austin PC, Alter DA, Schull MJ, You JJ, Chong A, Henry D, Tu JV (2010) Improved outcomes with early collaborative care of ambulatory heart failure patients discharged from the emergency department. Circulation 122:1806–1814
Marsteller JA, Hsu YJ, Reider L, Frey K, Wolff J, Boyd C, Leff B, Karm L, Scharfstein D, Boult C (2010) Physician satisfaction with chronic care processes: a cluster-randomized trial of guided care. Ann Fam Med 8:308–315
Tsukada YT, Kodani E, Asai K, Yasutake M, Seino Y, Shimizu W (2021) Status of medical care and management requirements of elderly patients with heart failure in a comprehensive community health system- survey of general practitioners’ views. Circ rep 3:77–85
Kao DP, Trinkley KE, Lin CT (2020) Heart failure management innovation enabled by electronic health records. JACC Heart failure 8:223–233
Acknowledgements
This study was supported by a grant from the Japan Society for the Promotion of Science (JSPS KAKENHI Grant No. 20K08403). We thank Audrey Holmes, MA, from Edanz (https://jp.edanz.com/ac) for editing a draft of this manuscript.
Funding
JSPS KAKENHI, Grant No. 20K08403, Yoshiharu Kinugasa
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Program for the Tottori Western Medical Association Heart Failure Community Collaboration Pathway in English version 1 (JPG 224 KB)
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Program for the Tottori Western Medical Association Heart Failure Community Collaboration Pathway in Japanese version. https://www.seibu.tottori.med.or.jp/isikai/path/path.html 2 (JPG 214 KB)
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Kinugasa, Y., Fukuki, M., Hirota, Y. et al. Differences in needs for community collaboration for heart failure between medical and nursing care staff. Heart Vessels 37, 969–975 (2022). https://doi.org/10.1007/s00380-021-01988-8
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DOI: https://doi.org/10.1007/s00380-021-01988-8