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Titolo:
Optimizing disease management at a health care system level: The rationaleand methods of the Improving Cardiovascular Outcomes in Nova Scotia (ICONS) study
Autore:
Cox, JL;
Indirizzi:
Queen Elizabeth II Hlth Sci Ctr, Div Cardiol, Dept Med, Halifax, NS B3K 6A3, Canada Queen Elizabeth II Hlth Sci Ctr Halifax NS Canada B3K 6A3 B3K 6A3, Canada
Titolo Testata:
CANADIAN JOURNAL OF CARDIOLOGY
fascicolo: 7, volume: 15, anno: 1999,
pagine: 787 - 796
SICI:
0828-282X(199907)15:7<787:ODMAAH>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; RANDOMIZED CONTROLLED TRIAL; CORONARY HEART-DISEASE; PRACTICE GUIDELINES; PHYSICIAN PERFORMANCE; EDUCATIONAL OUTREACH; CLINICAL-PRACTICE; PREVENTIVE CARE; INTERVENTIONS; MORTALITY;
Keywords:
health care delivery; health outcomes; population health;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
60
Recensione:
Indirizzi per estratti:
Indirizzo: Cox, JL Queen Elizabeth II Hlth Sci Ctr, Div Cardiol, Dept Med, Room 2144,New Halifax Infirm Site,POB 9000, Halifax, NS B3K 6A3, Canada Queen Elizabeth II Hlth Sci Ctr Room 2144,New Halifax Infirm Site,POB 9000 Halifax NS Canada B3K 6A3
Citazione:
J.L. Cox, "Optimizing disease management at a health care system level: The rationaleand methods of the Improving Cardiovascular Outcomes in Nova Scotia (ICONS) study", CAN J CARD, 15(7), 1999, pp. 787-796

Abstract

Improving Cardiovascular Outcomes in Nova Scotia (ICONS) is a five-year project that aims to determine whether the management of patients with an acute coronary syndrome, congestive heart failure or atrial fibrillation can be improved through a multilateral health care stakeholder effort using a disease management strategy. It is a large prospective cohort study with two major phases. The first involves passive baseline measurement of process ofcare and outcomes as these relate to all hospitalized Nova Scotians with adisease of interest as well as high risk persons from the community. The second comprises a series of interventions, developed on the basis of insights gained from the analysis of baseline, that are aimed at optimizing care. Process of care and outcomes during and after these interventions are compared with those measured at baseline. There is no control population. The hypothesis is that a population-based disease management approach will lead primarily to an optimization in health care delivery, as reflected by a 25%absolute increase in the utilization of evidence-based marker therapies over the course of the study, and that this will secondarily result in improved health outcomes. Approximately 1000 patients in each of the three disease groups are required to test the primary hypothesis. However, about 10,000Nova Scotians annually are study eligible and are targeted for enrolment. Outcomes evaluated are all-cause and cardiovascular mortality, major cardiovascular morbidity, hospitalization, revascularization, health care resource use, patient quality of life and satisfaction with their care, and employment and workplace productivity issues.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:44:19