HeartConnect: Integrating primary care and specialist cardiology for rapid access and better patient and healthcare practitioner experiences.

IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Yvonne Zurynski, Genevieve Dammery, Chrishan Nalliah, Simon Willcock, Catherine Smillie, Sanjyot Vagholkar, Walter Kmet, Shalini Wijekulasuriya, Sue Barry, Deborah Pallavicini, Gilbert Knaggs, Isabelle Meulenbroeks, Chloe Zurynski, Francisco Lopez
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Abstract

Background and objectives: This study evaluates an innovative model of care, HeartConnect, which aims to improve timely access to specialist cardiology services and greater collaboration between general practitioners (GPs) and cardiologists.

Method: HeartConnect was co-designed by GPs, cardiologists, researchers, patients and practice managers. A mixed-methods evaluation was performed. Details of referrals and HeartConnect appointments were collected. In total, 15 patients and six health providers were surveyed and/or interviewed.

Results: Ninety-five patients consented to the research (n=57 male; n=38 female; mean age 53.8 [standard deviation 19.5] years). Referrals were for review of symptoms (52%), clinical management (12%) and assessment of high-risk patients (10%). Patients were seen within two days if the appointment was made by the GP. In 91% of cases, follow-up letters were sent back to the GP on the same day. Analysis of survey and interview data showed that the model was considered acceptable.

Discussion: HeartConnect shows promise for reducing waiting times and enhancing collaboration between specialist cardiologists and GPs.

HeartConnect:整合初级保健和专科心脏病学,以实现快速访问和更好的患者和医疗保健从业人员体验。
背景和目的:本研究评估了一种创新的护理模式,HeartConnect,旨在改善专家心脏病服务的及时获取和全科医生(gp)和心脏病专家之间的更大合作。方法:HeartConnect由全科医生、心脏科医生、研究人员、患者和执业管理人员共同设计。采用混合方法进行评估。收集了转介和HeartConnect预约的详细信息。总共对15名患者和6名保健提供者进行了调查和/或访谈。结果:95例患者同意本研究(n=57例男性;n = 38岁女性;平均年龄53.8岁[标准差19.5]岁)。转诊是为了检查症状(52%)、临床管理(12%)和评估高危患者(10%)。如果病人是由全科医生预约的,则在两天内就诊。在91%的病例中,后续信件在同一天被寄回给全科医生。调查和访谈数据的分析表明,该模型是可以接受的。讨论:HeartConnect有望减少等待时间,加强心脏病专家和全科医生之间的合作。
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来源期刊
Australian Journal of General Practice
Australian Journal of General Practice Medicine-Family Practice
CiteScore
2.80
自引率
4.50%
发文量
284
期刊介绍: The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.
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