scholarly journals Heart failure: preventing rehospitalizations by disease management programs

2004 ◽  
Vol 62 (2) ◽  
Author(s):  
Valerio Verdiani ◽  
Carlo Nozzoli

Chronic heart failure is a growing public health problem for prevalence, morbidity and costs. The major proportion of costs is attributable to rehospitalizations and many of these readmissions may be preventable. Since 1990, some investigators have tested a variety of disease management programs designed to improve quality of life, functional status and decrease rehospitalizations rates. We identified these studies by a computerized search of the MEDLINE database. The programs described reflected a wide variety of methods and we categorized these programs recognizing the prevalent disease management approach. We reported the results of these trials about rehospitalizations and analysed a number of limitations that must be considered when determining their adoption into clinical practice.

2010 ◽  
Vol 16 (8) ◽  
pp. S6
Author(s):  
Aurelia O'Connell ◽  
Tracy Finegan ◽  
Jennifer Galindo ◽  
Gisele Munoz ◽  
Andrene Schonberg ◽  
...  

2009 ◽  
Vol 3 (4) ◽  
pp. 147
Author(s):  
Umar Fahmi Achmadi

Secara universal, kejadian penyakit merupakan inti permasalahan kesehatan masyarakat yang harus dicegah guna menampilkan wilayah yang sehat dan negara yang kuat. Kejadian penyakit merupakan fenomena yang bersandar pada basis wilayah yang mencakup ekosistem dalam dimensi ruang dan waktu Tulisan ini membahas kepentingan, makna, lokasi dan metoda manajemen penyakit berbasis wilayah. Asumsi dasar yang dianut adalah bahwa keberhasilan mengendalikan faktor risiko dan kejadian penyakit akan mampu meningkatkan dan memelihara kualitas kehidup masyarakat. Pembangunan kesehatan Wilayah dapat dilakukan dengan merujuk konsep MPBW dan rancangan SKK setiap wilayah pemerintahan otonom. Secara lebih terperinci, perlu disusun suatu pedoman MPBW kabupaten dan kota yang dapat dijadikan panduan oleh para perancang dan pelaksana. MPBW diharapkan dapat meningkatkan kesehatan penduduk di suatu Kabupaten Kota tertentu secara bertahap dan berkesinambungan. Terakhir dan yang tidak kalah pentingnya adalah bahwa pelaksanaan MPBW harus menggunakan prinsip-prinsip Ilmu Kesehatan Masyarakat.Kata kunci : Basis wilayah, manajemen penyakit, pembangunan kesehatan masyarakatAbstractIt is universally accepted that disease occurrence is the nucleus of public health problem and should be prevented to achieve healthy area and strong country. Disease occurrence is a phenomenon that is area-based and include ecosystem both spatial and temporal dimensions. This paper tries to explain the importance, meaning, location and method of area-based disease management. The important basic assumption is that the successful risk and disease control can increase ability to increase and maintain life quality of the people. Area-based development could be implemented by referring to MPBW concept and SKK design for each and every autonomous government. Furthermore, there is a need to develop MPBW guidelines in district level to be used by development designer and planner. It is expected that MPBW could improve community health in a district gradually and continuously. Last but not least, the implementation of MPBW should utilise Public Health sciences principles.Keywords: Area-based, disease management, public health devlopment


ACS Nano ◽  
2021 ◽  
Author(s):  
Tahir Farooq ◽  
Muhammad Adeel ◽  
Zifu He ◽  
Muhammad Umar ◽  
Noman Shakoor ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Renzi ◽  
G Gasperini ◽  
V Baccolini ◽  
C Marzuillo ◽  
C De Vito ◽  
...  

Abstract Background Promoting self-care is one of the most promising strategies to manage people with chronic conditions and to improve the Public Health System resilience. In this context, the use of e-Health could facilitate self-care promotion, assure continuity of care and save time. Methods We performed an umbrella review on Cochrane, Scopus, Medline, PsychInfo, CINAHL to analyse e-Health self-care promoting intervention in patients with Type- 2 Diabetes Mellitus (T2DM), Cardiovascular Diseases (CVD) and Chronic Obstructive Pulmonary Disease (COPD) compared to traditional intervention. AMSTAR-2 was used for quality appraisal. Results 10 systematic reviews were included for an amount of 376 RCTs and 3 quasi-experimental studies. All the e-Health interventions retrieved were categorized in 4 subgroups: Phone Reminder, Telemonitoring, Psychoeducational intervention supported by PCs/Apps and Combined Intervention. Nurses (271/379 studies) and physicians (149/379 studies) were the healthcare workers mostly involved in the administration of e-Health interventions. T2DM (5 reviews; 175 studies) and CVD (7 reviews; 164 studies) patients gained more progresses in self-management than COPD patients (3 reviews; 8 studies). E-Health appeared effective both in promoting self-management and disease awareness. Globally, all the e-Health interventions seemed to improve Quality of Life and clinical outcomes. Phone reminders were most effective to increase Medication Adherence. All Causes Mortality registered a positive effect through Telemonitoring. Hospital Admission and Cost-Efficacy were explored only by telemonitoring and it did not show differences with traditional intervention. Conclusions E-Health is an effective strategy to promote self-care in patients with chronic conditions and to improve quality of life and clinical outcomes. Further research is required to test e-Health intervention in COPD patients and to examine if there is different efficacy among e-Health subgroups. Key messages E-Health should be integrated in Primary Care strategies to improve Public Health systems resilience. Nurses, as frontline Primary Health Care workers, should be advised for e-Health administration.


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