A Description of Patient and Provider Experience and Clinical Outcomes After Heart Failure Shared Medical Appointment:

Journal of Patient Experience

Lisa BCohen¹ 

关键词: shared medical appointments;    heart failure;    medication adherence;    interdisciplinary;    patient interviews;    provider interviews;    patient care team;   

DOI  :  10.1177/2374373517714452

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Shared medical appointments (SMAs) are clinical visits in which several patients meet with 1 or more providers at the same time.Objective:To describe the outcomes of an interdisciplinary SMA for veterans recently discharged for heart failure (HF).Methods:A retrospective chart review for patients’ readmission rates, survival, medication adherence, and medication-related problems. For qualitative outcomes, we performed semistructured interviews on 12 patients who had undergone HF SMAs and their respective caregivers focusing on care satisfaction, HF knowledge, disease self-care, medication reconciliation, and peer support.Results:The cohort comprised 70 patients—49% had left ventricular function <40% and 50% were prescribed >10 medications. Medication-related problems occurred in 60% of patients. Interviews revealed overall satisfaction with HF-SMA, but patients felt overwhelmed with HF instructions, perceived lack of peer support and self-efficacy, and feelings of hopelessness related to HF.Conc...

【 授权许可】

CC BY