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Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination

Objectives. We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF). Background. The high utilization of health care resources and poor patient outcomes associated with HF j...

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Autores principales: Shaw, Jessica D., O'Neal, Daniel J., Siddharthan, Kris, Neugaard, Britta I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017732/
https://www.ncbi.nlm.nih.gov/pubmed/24864206
http://dx.doi.org/10.1155/2014/836921
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author Shaw, Jessica D.
O'Neal, Daniel J.
Siddharthan, Kris
Neugaard, Britta I.
author_facet Shaw, Jessica D.
O'Neal, Daniel J.
Siddharthan, Kris
Neugaard, Britta I.
author_sort Shaw, Jessica D.
collection PubMed
description Objectives. We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF). Background. The high utilization of health care resources and poor patient outcomes associated with HF justify tests of change to improve self-management of HF. Methods. This prospective study tested two components of the Chronic Care Model (clinical information systems and self-management support) to improve outcomes in the self-management of HF among patients who received intensive education and care coordination during their acute care stay. A postdischarge follow-up phone call assessed their knowledge of HF self-management compared to usual care patients. Results. There were 20 patients each in the intervention and usual care groups. Intervention patients were more likely to have a scale at home, write down their weight, and practice new or different health behaviors. Conclusion. Patients receiving more intensive education knew more about their disease and were better able to self-manage their weight compared to patients receiving standard care.
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spelling pubmed-40177322014-05-26 Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination Shaw, Jessica D. O'Neal, Daniel J. Siddharthan, Kris Neugaard, Britta I. Nurs Res Pract Research Article Objectives. We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF). Background. The high utilization of health care resources and poor patient outcomes associated with HF justify tests of change to improve self-management of HF. Methods. This prospective study tested two components of the Chronic Care Model (clinical information systems and self-management support) to improve outcomes in the self-management of HF among patients who received intensive education and care coordination during their acute care stay. A postdischarge follow-up phone call assessed their knowledge of HF self-management compared to usual care patients. Results. There were 20 patients each in the intervention and usual care groups. Intervention patients were more likely to have a scale at home, write down their weight, and practice new or different health behaviors. Conclusion. Patients receiving more intensive education knew more about their disease and were better able to self-manage their weight compared to patients receiving standard care. Hindawi Publishing Corporation 2014 2014-04-23 /pmc/articles/PMC4017732/ /pubmed/24864206 http://dx.doi.org/10.1155/2014/836921 Text en Copyright © 2014 Jessica D. Shaw et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Shaw, Jessica D.
O'Neal, Daniel J.
Siddharthan, Kris
Neugaard, Britta I.
Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination
title Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination
title_full Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination
title_fullStr Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination
title_full_unstemmed Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination
title_short Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination
title_sort pilot program to improve self-management of patients with heart failure by redesigning care coordination
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017732/
https://www.ncbi.nlm.nih.gov/pubmed/24864206
http://dx.doi.org/10.1155/2014/836921
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