Current Focus in Treating and Managing Coronary Artery Disease and Heart Failure. Symposium. Ft Lauderdale, FL, USA, 1997/01/15.
Compliance with the National Cholesterol Education Program (NCEP II) Adult Treatment Panel II guidelines for lipid management in patients with coronary artery disease has not been widespread.
Barriers to effective lipid management occur at numerous levels of interaction between the patient, provider, and healthcare organizations.
Nurse care managers (NCMs), recognized in the inpatient and discharge planning settings, are emerging in new roles in the oupatient setting working in subspecialty areas including lipid/risk-reduction, heart failure, and anticoagulation clinics.
To improve patient adherence to NCEP II goals, NCMs can help overcome treatment barriers by (1) bridging inpatient/outpatient care ; (2) securing long-term patient compliance and follow-up ; (3) developing clinic policy and computerized patient databases ; (4) implementing management algorithms ; and (5) enhancing financial reimbursement from insurers.
Additional graduate nursing programs and novel healthcare delivery models demonstrating the ability to overcome the barriers to improved patient care must be encouraged and supported.
Mots-clés Pascal : Cardiopathie coronaire, Hypolipémiant, Infirmier, Assurance maladie, Traitement, Observance thérapeutique, Homme, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Coronary heart disease, Antilipemic agent, Nurse, Health insurance, Treatment, Treatment compliance, Human, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0058771
Code Inist : 002B02N. Création : 14/05/1998.