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The Continuing Scourge of Atherosclerotic Cardiovascular Disease: Importance of Multidisciplinary and Innovative Person-Centred Approaches.
Cheng, Alice; Krauter, Morgan; Mullen, Kerri-Anne; Liu, Peter.
Afiliação
  • Cheng A; Trillium Health Partners and Unity Health Toronto and Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Krauter M; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
  • Mullen KA; Canadian Women's Heart Health Centre, Prevention & Wellness Centre, Ottawa Model for Smoking Cessation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
  • Liu P; University of Ottawa Heart Institute, Cardiac Function Laboratory, University of Ottawa, Ottawa, Ontario, Canada; University of Toronto, Toronto, Ontario, Canada. Electronic address: pliu@ottawaheart.ca.
Can J Cardiol ; 40(8S): S43-S52, 2024 Aug.
Article em En | MEDLINE | ID: mdl-39111900
ABSTRACT
This article discusses the complex approach to managing atherosclerotic cardiovascular disease (ASCVD), focusing on person-centred care (PCC) to align treatment strategies with individual patient narratives, values, and preferences. It identifies significant challenges in management of ASCVD, such as the necessity for multidisciplinary strategies and the need for enhanced patient care, particularly given the coexistence of ASCVD with other cardiometabolic risk factors. The paper points out existing practice gaps, including limited patient-provider information sharing and decision making, and considers the role of technology in personalizing care and improving outcomes. Strategies such as electronic health records, telehealth platforms, and motivational interviewing are examined for their potential to boost patient engagement and adherence to treatment. In addition, the article discusses systemic issues such as health care provider burnout and the importance of creating customized care plans for patients with multiple health conditions. The integration of varied approaches, including the involvement of community pharmacists and health coaches, is suggested as important for effective management of ASCVD. This review highlights the need for an innovative, holistic strategy for management of ASCVD and advocates for a transformative shift toward PCC that integrates individual, community, and system-level interventions to enhance patient engagement, therapy adherence, and overall outcomes.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Assistência Centrada no Paciente / Aterosclerose Limite: Humans Idioma: En Revista: Can J Cardiol Assunto da revista: CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Canadá

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Assistência Centrada no Paciente / Aterosclerose Limite: Humans Idioma: En Revista: Can J Cardiol Assunto da revista: CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Canadá