Key result
Structured primary care transitions may bridge key post-ACS secondary prevention gaps identified in registry data.
Why the study?
Current uptake and access to secondary prevention strategies after acute coronary syndrome remain suboptimal, with gaps in referral, medication prescription, and lifestyle changes before hospital discharge.
Adopting a structured framework for secondary prevention in primary care can improve continuity of care and service coordination for patients after acute coronary syndrome.
Despite guidelines advocating routine engagement with proven secondary prevention strategies, current uptake and access remain suboptimal. Australian registries of acute coronary syndrome have predominantly focused on inpatient care and have highlighted under-referral to cardiac rehabilitation, gaps in medication prescription and limited commencement of lifestyle change before discharge from hospital. Opportunities to improve equity, access and uptake of secondary prevention include better transition between acute and primary care, systematic delivery of prevention in primary care, workforce strengthening and embracing new technologies. Adopting a structured framework for delivery of secondary prevention in primary care will enhance continuity of care and improve coordination of services after acute coronary syndrome.
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Redfern et al. (2014) conducted a review in acute coronary syndrome. Secondary prevention strategies and transition to primary care was evaluated. Australian registry data highlight gaps in secondary prevention after acute coronary syndrome, suggesting that a structured framework for transition to primary care could improve service coordination.
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