Addressing the Burden of Heart Failure in Australia: The Scope for Home-Based Interventions
作者:
Patricia Davidson,
Simon Stewart,
Doug Elliott,
John Daly,
Andrew Sindone,
Jill Cockburn,
期刊:
The Journal of Cardiovascular Nursing
(OVID Available online 2001)
卷期:
Volume 16,
issue 1
页码: 56-68
ISSN:0889-4655
年代: 2001
出版商: OVID
关键词: Australia;heart failure;heart failure nurse;home-based;models of care
数据来源: OVID
摘要:
The growing burden of heart failure (HF) challenges health practitioners to implement and evaluate models of care to facilitate optimal health related outcomes. Australia supports a publicly funded universal health insurance system with a strong emphasis on primary care provided by general practitioners. The burden of chronic HF, and a social and political framework favoring community-based, noninstitutionalized care, represents an ideal environment in which home-based HF programs can be implemented successfully. Cardiovascular nurses are well positioned to champion and mentor implementation of evidence-based, patient-centered programs in Australian communities. This paper describes the facilitators and barriers to implementation of best practice models in the Australian context. These include the challenge of providing care in a diverse, multicultural society and the need for clinical governance structures to ensure equal access to the most effective models of care.
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