Impact of an integral assistance model between primary care and cardiology on the management of patients with ischemic heart disease or atrial fibrillation

To analyze the impact of implementing a program integrating cardiology and primary care in clinical practice. In the integrated care model, every cardiologist was assigned to each primary care center. The implementation of the new care model was associated with a significant reduction of 31.2% in re...

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Bibliographic Details
Published in:Journal of comparative effectiveness research 2019-01, Vol.8 (2), p.103-111
Main Authors: Freixa-Pamias, Román, Gràcia, Pedro Blanch, Rodríguez Latre, Maria Lluïsa, Basile, Luca, Chamero, Pilar Sanchez, Martínez-Rubio, Antoni, Lupón, Josep, trabajo de Atención Integrada Cardiología-Atención Primaria en el área del Hospital Moisès Broggi, Grupo de
Format: Article
Language:English
Subjects:
Administration, Oral
Aged
Anticoagulants
Anticoagulants - therapeutic use
anticoagulation
atrial fibrillation
Atrial Fibrillation - drug therapy
Atrial Fibrillation - epidemiology
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Cholesterol
Chronic illnesses
Delivery of Health Care, Integrated
Electronic health records
Family physicians
Female
Health risk assessment
healthcare levels
Heart
Hospitals
Humans
integration
LDL cholesterol
Low density lipoprotein
Male
Medical records
Medical referrals
Middle Aged
Myocardial Ischemia - drug therapy
Myocardial Ischemia - epidemiology
Outpatient care facilities
Prevalence
Primary care
Primary Health Care
Spain - epidemiology
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Summary:To analyze the impact of implementing a program integrating cardiology and primary care in clinical practice. In the integrated care model, every cardiologist was assigned to each primary care center. The implementation of the new care model was associated with a significant reduction of 31.2% in requests of first visits. In addition, the delay to the cardiologist consultation significantly decreased by 54.5% for the first visits, and by 57.1% for the follow-up visits. The proportion of patients that achieved recommended low density lipoprotein-cholesterol goals significantly increased from 20.8 to 29.6%. The proportion of patients submitted to anticoagulant therapy significantly increased from 69.3 to 74.2%, as well as the proportion of patients taking direct oral anticoagulants (from 7.9 to 28.4%).
ISSN:2042-6305
2042-6313
DOI:10.2217/cer-2018-0088