Key result
A pragmatic approach is proposed to adapt current nurse-led, multidisciplinary, home-based management models to meet the needs of increasingly complex heart failure patients with multimorbidity.
Highlights the need to adapt nurse-led, multidisciplinary, home-based heart failure management models to better serve increasingly complex patients with multimorbidity.
May support adapting nurse-led HF models for multimorbidity; leaves open prospective validation of outcomes.
We report on our learning from many years of research testing the value of nurse-led, multidisciplinary, home-based management of heart failure. We discuss and highlight the key challenges we have experienced in testing this model of care relative to alternatives and evolving patient population. Accordingly, we propose a pragmatic approach to adapt current models of care to meet the needs of increasingly complex (and costly) patients with multimorbidity.
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Chan et al. (2017) conducted a review in Heart failure. Nurse-led, multidisciplinary, home-based management was evaluated. A pragmatic approach is proposed to adapt current nurse-led, multidisciplinary, home-based management models to meet the needs of increasingly complex heart failure patients with multimorbidity.
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