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The Status of Specialized Ambulatory Heart Failure Care in Canada: A Joint Canadian Heart Failure Society and Canadian Cardiovascular Society Heart Failure Guidelines Survey.


ABSTRACT: This joint Canadian Heart Failure Society and the CCS Heart Failure guidelines report has been developed to provide a pan-Canadian snapshot of the current state of clinic-based ambulatory heart failure (HF) care in Canada with specific reference to elements and processes of care associated with quality and high performing health systems. It includes the viewpoints of persons with lived experience, patient care providers, and administrators. It is imperative to build on the themes identified in this survey, through engaging all health care professionals, to develop integrated and shared care models that will allow better patient outcomes. Several patient and organizational barriers to care were identified in this survey, which must inform the development of regional care models and pragmatic solutions to improve transitions for this patient population. Unfortunately, we were unsuccessful in incorporating the perspectives of primary care providers and internal medicine specialists who provide the majority of HF care in Canada, which in turn limits our ability to comment on strategies for capacity building outside the HF clinic setting. These considerations must be taken into account when interpreting our findings. Engaging all HF care providers, to build on the themes identified in this survey, will be an important next step in developing integrated and shared care models known to improve patient outcomes.

SUBMITTER: Writing Group 

PROVIDER: S-EPMC7242502 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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The Status of Specialized Ambulatory Heart Failure Care in Canada: A Joint Canadian Heart Failure Society and Canadian Cardiovascular Society Heart Failure Guidelines Survey.

Virani Sean A SA   Zieroth Shelley S   Bray Sharon S   Ducharme Anique A   Harkness Karen K   Koshman Sheri L SL   McDonald Michael M   O'Meara Eileen E   Swiggum Elizabeth E   Chan Michael M   Ezekowitz Justin A JA   Giannetti Nadia N   Grzeslo Adam A   Heckman George A GA   Howlett Jonathan G JG   Lepage Serge S   Mielniczuk Lisa L   Moe Gordon W GW   Toma Mustafa M   Abrams Howard H   Al-Hesaye Abdul A   Cohen-Solal Alain A   D'Astous Michel M   De Sabe S   Delgado Diego D   Desplantie Olivier O   Estrella-Holder Estrellita E   Green Lee L   Haddad Haissam H   Hernandez Adrian F AF   Kouz Simon S   LeBlanc Marie-Hélène MH   Lee Douglas D   Masoudi Frederick A FA   Matteau Sylvain S   McKelvie Robert R   Parent Marie-Claude MC   Rajda Miroslaw M   Ross Heather J HJ   Sussex Bruce B  

CJC open 20200307 3


This joint Canadian Heart Failure Society and the CCS Heart Failure guidelines report has been developed to provide a pan-Canadian snapshot of the current state of clinic-based ambulatory heart failure (HF) care in Canada with specific reference to elements and processes of care associated with quality and high performing health systems. It includes the viewpoints of persons with lived experience, patient care providers, and administrators. It is imperative to build on the themes identified in t  ...[more]

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