Key result
A qualitative study of 16 providers and administrators found that aligning heart failure care with the Chronic Care Model requires standardizing treatment and improving communication.
Why the study?
Heart failure patients often present with frailty and multi-morbidity, complicating care delivery, but how the Chronic Care Model might inform care redesign from provider and administrator perspectives was unclear.
How do frontline providers and administrators perceive heart failure care and how might the Chronic Care Model inform redesign of care?
How do frontline providers and administrators perceive heart failure care and how might the Chronic Care Model inform redesign of care?
The Chronic Care Model can guide health system design and interventions for frail and multi-morbid heart failure patients by addressing care and service-delivery barriers.
BACKGROUND: Heart failure patients often present with frailty and/or multi-morbidity, complicating care and service delivery. The Chronic Care Model (CCM) is a useful framework for designing care for complex patients. It assumes responsibility of several actors, including frontline providers and health-care administrators, in creating conditions for optimal chronic care management. This qualitative case study examines perceptions of care among providers and administrators in a large, urban health system in Canada, and how the CCM might inform redesign of care to improve health system functioning. METHODS: Sixteen semi-structured interviews were conducted between August 2014 and January 2016. Interpretive analysis was conducted to identify how informants perceive care among this population and the extent to which the design of heart failure care aligns with elements of the CCM. RESULTS: Current care approaches could better align with CCM elements. Key changes to improve health system functioning for complex heart failure patients that align with the CCM include closing knowledge gaps, standardizing treatment, improving interdisciplinary communication and improving patient care pathways following hospital discharge. CONCLUSIONS: The CCM can be used to guide health system design and interventions for frail and multi-morbid heart failure patients. Addressing care- and service-delivery barriers has important clinical, administrative and economic implications.
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Marani et al. (2020) studied Heart failure (n=16). Chronic Care Model (CCM) framework was evaluated on Perceptions of care and alignment with elements of the Chronic Care Model. A qualitative study of 16 providers and administrators found that aligning heart failure care with the Chronic Care Model requires standardizing treatment and improving communication.
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