PRIMARY CARE PROBLEMS IN PATIENTS WITH CHRONIC HEART FAILURE

• Main Author: O. A. Shtegman
• Format: Article
• Language: English
• Published: Stolichnaya Izdatelskaya Kompaniya 2015-09-01
• Series: Racionalʹnaâ Farmakoterapiâ v Kardiologii
• Subjects: хроническая сердечная недостаточность; медицинское обеспечение; эмоциональное выгорание
• Online Access: http://www.rpcardio.ru/jour/article/view/216

<p>Aim. To evaluate primary care efficacy in patients with chronic heart failure (CHF).<br />Material and methods. Outpatients (n=139) with CHF and 35 primary care physicians were included into the study. The evaluation of drug therapy and patient awareness of the principles of non-drug CHF treatment were performed. An anonymous survey among doctors in terms of current CHF guidelines knowledge, patient information provided by physicians, and doctors’ burnout status was also carried out.<br />Results. Only 39% and 10% of CHF outpatients received target doses of ACE inhibitors/sartans and beta-blockers, respectively. Majority of CHF outpatients and their doctors need in additional education/training. 56% of primary care physicians demonstrated an emotional burnout.<br />Conclusion. Author considers it essential to distribute short pocket-guidelines on CHF management among primary care physicians, and to reduce the load on primary care physicians with simultaneous strengthening of their performance control.</p>