Integrated chronic care management for patients with atrial fibrillation: A rationale for redesigning atrial fibrillation care

Jeroen M.L. Hendriks, Harry J.G.M. Crijns, Hubertus J.M. Vrijhoef

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Atrial Fibrillation (AF) is a highly prevalent heart rhythm disturbance, often associated with underlying (cardio)vascular disease. Due to this the management of AF is often complex and current practice calls for a more comprehensive, multifactorial and patient-centred approach. Therefore an Integrated Chronic Care approach in AF was developed and implemented in terms of a nurse-led specialized outpatient clinic for patients with AF. A randomised controlled trial comparing the nurse-led approach with usual care demonstrated superiority in terms of cardiovascular hospitalization and death as well as cost-effectiveness in terms of Quality Adjusted Life Years (QALYs) and life years, in favour of the nurse-led approach. Implementing such approach can be difficult since daily practice can be persistent. To highlight the importance of integrated care wherein the nurse fulfils a significant role, and to provide a guide in developing and continuing such approach, this paper presents the theoretical framework of the AF-Clinic based on the principles of the Taxonomy for Integrated Chronic Atrial Fibrillation Management.

Original languageEnglish
Article number1177
Number of pages6
JournalJournal of Atrial Fibrillation
Volume7
Issue number5
DOIs
Publication statusPublished - 28 Feb 2015
Externally publishedYes

Keywords

  • integrated chronic care management
  • atrial fibrillation care
  • patients
  • AF management
  • AF patients

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