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

Román Freixa-Pamias, Pedro Blanch Gràcia, Maria Lluïsa Rodríguez Latre, Luca Basile, Pilar Sanchez Chamero, Antoni Martínez-Rubio, Josep Lupón

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    1 Citation (Scopus)

    Abstract

    © 2019 2018 Future Medicine Ltd. Aim: To analyze the impact of implementing a program integrating cardiology and primary care in clinical practice. Methods: In the integrated care model, every cardiologist was assigned to each primary care center. Results & conclusion: 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%).
    Original languageEnglish
    Pages (from-to)103-111
    JournalJournal of Comparative Effectiveness Research
    Volume8
    DOIs
    Publication statusPublished - 1 Jan 2019

    Keywords

    • anticoagulation
    • atrial fibrillation
    • cardiology
    • healthcare levels
    • integration
    • LDL cholesterol
    • primary care

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