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A 2020 Environmental Scan of Heart Failure Clinics in Ontario

BACKGROUND: Multidisciplinary heart failure (HF) clinics decrease hospital admission rates and healthcare use, while improving patient outcomes. To understand the contemporary availability of HF clinics in Ontario, Canada, and the services provided, we performed an environmental scan of physician-le...

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Autores principales: Kugathasan, Lakshmi, Francis, Troy, Rac, Valeria E., Wijeysundera, Harindra C., McDonald, Michael, Ross, Heather J., Alba, Ana Carolina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8348555/
https://www.ncbi.nlm.nih.gov/pubmed/34401700
http://dx.doi.org/10.1016/j.cjco.2021.03.010
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author Kugathasan, Lakshmi
Francis, Troy
Rac, Valeria E.
Wijeysundera, Harindra C.
McDonald, Michael
Ross, Heather J.
Alba, Ana Carolina
author_facet Kugathasan, Lakshmi
Francis, Troy
Rac, Valeria E.
Wijeysundera, Harindra C.
McDonald, Michael
Ross, Heather J.
Alba, Ana Carolina
author_sort Kugathasan, Lakshmi
collection PubMed
description BACKGROUND: Multidisciplinary heart failure (HF) clinics decrease hospital admission rates and healthcare use, while improving patient outcomes. To understand the contemporary availability of HF clinics in Ontario, Canada, and the services provided, we performed an environmental scan of physician-led and nurse practitioner (NP)–led HF clinics. METHODS: Between November, 2019 and February 2020, we identified Ontario HF clinics led by physicians or NPs. Following an invitation, we conducted a semi-structured interview to evaluate the services offered and qualitatively compared our findings to the results of the 2010 Ontario provincial survey. RESULTS: The number of HF clinics (36 vs 34 in 2010) and physicians (157 vs 143 in 2010) have not changed since the 2010 survey. Of the 36 clinics we identified, 30 participated in our interview (22 physician-led and 8 NP-led). Twenty-five clinics (83%) were hospital-based, of which 9 (30%) were part of an academic institution. Comparisons of our findings to the 2010 study on 30 clinics show an approximately 3-fold increase (P <0.001) in both median annual and new patient visits. As previously reported, the clinics varied in services offered, but trended toward an increased availability of onsite echocardiography, exercise-stress testing, and nuclear cardiology. CONCLUSIONS: Compared to the survey performed a decade ago, the number of HF clinics and physicians have not changed, and the services provided remain heterogenous. However, the increased number of patients served suggests a greater demand for these clinics. Improving the accessibility of these clinics and standardizing the service model are critical to improving patient outcomes.
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spelling pubmed-83485552021-08-15 A 2020 Environmental Scan of Heart Failure Clinics in Ontario Kugathasan, Lakshmi Francis, Troy Rac, Valeria E. Wijeysundera, Harindra C. McDonald, Michael Ross, Heather J. Alba, Ana Carolina CJC Open Original Article BACKGROUND: Multidisciplinary heart failure (HF) clinics decrease hospital admission rates and healthcare use, while improving patient outcomes. To understand the contemporary availability of HF clinics in Ontario, Canada, and the services provided, we performed an environmental scan of physician-led and nurse practitioner (NP)–led HF clinics. METHODS: Between November, 2019 and February 2020, we identified Ontario HF clinics led by physicians or NPs. Following an invitation, we conducted a semi-structured interview to evaluate the services offered and qualitatively compared our findings to the results of the 2010 Ontario provincial survey. RESULTS: The number of HF clinics (36 vs 34 in 2010) and physicians (157 vs 143 in 2010) have not changed since the 2010 survey. Of the 36 clinics we identified, 30 participated in our interview (22 physician-led and 8 NP-led). Twenty-five clinics (83%) were hospital-based, of which 9 (30%) were part of an academic institution. Comparisons of our findings to the 2010 study on 30 clinics show an approximately 3-fold increase (P <0.001) in both median annual and new patient visits. As previously reported, the clinics varied in services offered, but trended toward an increased availability of onsite echocardiography, exercise-stress testing, and nuclear cardiology. CONCLUSIONS: Compared to the survey performed a decade ago, the number of HF clinics and physicians have not changed, and the services provided remain heterogenous. However, the increased number of patients served suggests a greater demand for these clinics. Improving the accessibility of these clinics and standardizing the service model are critical to improving patient outcomes. Elsevier 2021-03-26 /pmc/articles/PMC8348555/ /pubmed/34401700 http://dx.doi.org/10.1016/j.cjco.2021.03.010 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Kugathasan, Lakshmi
Francis, Troy
Rac, Valeria E.
Wijeysundera, Harindra C.
McDonald, Michael
Ross, Heather J.
Alba, Ana Carolina
A 2020 Environmental Scan of Heart Failure Clinics in Ontario
title A 2020 Environmental Scan of Heart Failure Clinics in Ontario
title_full A 2020 Environmental Scan of Heart Failure Clinics in Ontario
title_fullStr A 2020 Environmental Scan of Heart Failure Clinics in Ontario
title_full_unstemmed A 2020 Environmental Scan of Heart Failure Clinics in Ontario
title_short A 2020 Environmental Scan of Heart Failure Clinics in Ontario
title_sort 2020 environmental scan of heart failure clinics in ontario
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8348555/
https://www.ncbi.nlm.nih.gov/pubmed/34401700
http://dx.doi.org/10.1016/j.cjco.2021.03.010
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