Optimising implementation of European guidelines on cardiovascular disease prevention in clinical practice: what is needed?

被引:24
作者
Uchmanowicz, Izabella [1 ]
Hoes, Arno [2 ]
Perk, Joep [3 ]
McKee, Gabrielle [4 ]
Svavarsdottir, Margret Hronn [5 ]
Czerwinska-Jelonkiewicz, Katarzyna [6 ]
Janssen, Arne [7 ]
Oleksiak, Anna [8 ]
Dendale, Paul [9 ,10 ]
Graham, Ian M. [11 ]
机构
[1] Wroclaw Med Univ, Fac Hlth Sci, Wroclaw, Poland
[2] Univ Med Ctr Utrecht, Dept Gen Practice, Utrecht, Netherlands
[3] Linnaeus Univ, Fac Hlth & Life Sci, Vaxjo, Sweden
[4] Trinity Coll Dublin, Sch Nursing & Midwifery, Dublin, Ireland
[5] Univ Akureyri, Sch Hlth Sci, Akureyri, Iceland
[6] Amer Heart Poland Inc, Ctr Cardiovasc Res & Dev, Katowice, Poland
[7] Heartctr Hasselt, Clin Res Dept Cardiol, Hasselt, Belgium
[8] Inst Cardiol, Dept Intens Cardiac Therapy, Warsaw, Poland
[9] Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium
[10] Hasselt Univ, Hasselt, Belgium
[11] Trinity Coll Dublin, Dublin, Ireland
关键词
Guidelines; implementation; prevention; cardiovascular diseases; HEART-FAILURE; HEALTH-CARE; ADHERENCE; SOCIETY; KNOWLEDGE; AWARENESS; BARRIERS;
D O I
10.1177/2047487320926776
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiovascular disease is a model example of a preventable condition for which practice guidelines are particularly important. In 2016, the joint task force created by the European Society of Cardiology (ESC) together with 10 other societies released the new version of the European guidelines on cardiovascular disease prevention. To facilitate the implementation of the ESC guidelines, a dedicated prevention implementation committee has been established within the European Association of Preventive Cardiology. The paper will first explore potential barriers to the guidelines' implementation. It then develops a discussion that seeks to inform the future development of the committee's work, including a new definition of the guidelines' stakeholders (health policy-makers, healthcare professionals and health educators, patient organisations, entrepreneurs and the general public), future activities within four specific areas: strengthening awareness of the guidelines among stakeholders; supporting organisational changes to facilitate the guidelines' implementation; motivating stakeholders to utilise the guidelines; and present ideas on new implementation strategies. Providing multifaceted cooperation between healthcare professionals, healthcare management executives and health policy-makers, the novel approach proposed in this paper should contribute to a wider use of the 2016 ESC guidelines and produce desired effects of less cardiovascular disease morbidity and mortality. Furthermore, the solutions presented within the paper may constitute a benchmark for the implementation of practice guidelines in other medical disciplines.
引用
收藏
页码:426 / 431
页数:6
相关论文
共 50 条
[1]   Strategies for dissemination and implementation of guidelines [J].
Barosi, G. .
NEUROLOGICAL SCIENCES, 2006, 27 (Suppl 3) :S231-S234
[2]   Why don't physicians follow clinical practice guidelines? A framewouk for improvement [J].
Cabana, MD ;
Rand, CS ;
Powe, NR ;
Wu, AW ;
Wilson, MH ;
Abboud, PAC ;
Rubin, HR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (15) :1458-1465
[3]   SURF - SUrvey of Risk Factor management: first report of an international audit [J].
Cooney, M. T. ;
Reiner, Z. ;
Sheu, W. ;
Ryden, L. ;
de Sutter, J. ;
De Bacquer, D. ;
DeBacker, G. ;
Mithal, A. ;
Chung, N. ;
Lim, Y. T. ;
Dudina, A. ;
Reynolds, A. ;
Dunney, K. ;
Graham, I. .
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 2014, 21 (07) :813-822
[4]  
Davis DA, 1997, CAN MED ASSOC J, V157, P408
[5]   Primer: implementation of guideline-based programs for coronary care [J].
Eagle, KA ;
Koelling, TM ;
Montoye, CK .
NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE, 2006, 3 (03) :163-171
[6]   Cardiologists' awareness and perceptions of guidelines for chronic heart failure. The ADDress your Heart survey [J].
Erhardt, Leif ;
Komajda, Michel ;
Hobbs, F. D. Richard ;
Soler-Soler, Jordi .
EUROPEAN JOURNAL OF HEART FAILURE, 2008, 10 (10) :1020-1025
[7]  
European Society of Cardiology, HLTH HEART PREV CARD
[8]  
European Society of Cardiology, ESC POCK GUID APP
[9]  
European Society of Cardiology, ESCEL ESC E LEARN TR
[10]  
European Society of Cardiology, BE GUID SMART