The Pediatric Heart Failure Workforce: An International, Multicenter Survey

被引:5
作者
Auerbach, Scott R. [1 ]
Everitt, Melanie D. [1 ]
Butts, Ryan J. [2 ]
Rosenthal, David N. [3 ]
Law, Yuk M. [4 ,5 ]
机构
[1] Univ Colorado, Sch Med, Dept Pediat, Colorado Heart Inst,Div Cardiol,Childrens Hosp, Aurora, CO 80045 USA
[2] Med Univ South Carolina, Dept Pediat, Div Cardiol, 171 Ashley Ave, Charleston, SC 29425 USA
[3] Stanford Univ, Dept Pediat, Div Pediat Cardiol, Palo Alto, CA 94304 USA
[4] Univ Washington, Dept Pediat, Childrens Hosp, Div Cardiol, Seattle, WA 98195 USA
[5] Univ Washington, Reg Med Ctr, Seattle, WA 98195 USA
关键词
Pediatrics; Heart failure; Congenital heart disease; Survey; UNITED-STATES; NURSE-PRACTITIONER; POLICY STATEMENT; TASK-FORCE; TRANSPLANTATION; CARDIOMYOPATHY; CARDIOLOGY; SOCIETY; HOSPITALIZATIONS; EPIDEMIOLOGY;
D O I
10.1007/s00246-017-1756-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Our objective was to understand the scope of pediatric heart failure (HF) and the current staffing environment of HF programs. An online survey was distributed to members of the Pediatric Heart Transplant Study and the Pediatric Council of the International Society for Heart and Lung Transplantation. All participants received the primary 23-question survey. Additionally, HF program directors received a 32-question supplemental survey. Of 235 invitations sent, there were 69 (29%) primary surveys and 34 program director surveys completed (24 U.S. programs, 9 outside non-U.S., and one non-specified location). A formal HF program was reported by 88% of directors. There were 150 [IQR 50-200] outpatients/institution and 40% [25-50] of patients had congenital heart disease. Inpatient HF census was 3 [2-4] patients. Most programs (70%) used a consulting service model to provide HF specialty care, while only 10 (30%) utilized an inpatient HF service. Inpatient HF service programs had a higher daily inpatient census versus consult service model programs (4 [3-7] vs. 2 [1-4], respectively; p = 0.022) and had a higher number of full-time equivalents dedicated to HF (5.5 [2-7] vs. 2.5 [1-4], respectively; p = 0.024). Only 47% of programs report a general fellowship rotation devoted to HF. Advanced practice providers (APP) were utilized in 15 programs, nurse coordinators in 2, and both in 3. Most HF programs are formalized, utilize APP, and have inadequate HF staffing to utilize a separate inpatient HF service. Exposure of general pediatric cardiology fellows to HF care is variable between institutions.
引用
收藏
页码:307 / 314
页数:8
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