Bridging Treatment Implementation Gaps in Patients With Heart Failure - Université de Lorraine Access content directly
Journal Articles Journal of the American College of Cardiology Year : 2023

Bridging Treatment Implementation Gaps in Patients With Heart Failure

Abstract

Heart failure (HF) is a leading cause of death and disability in older adults. Despite decades of high-quality evidence to support their use, guideline-directed medical therapies (GDMTs) that reduce death and disease burden in HF have been suboptimally implemented. Approaches to closing care gaps have focused largely on strategies proven to be ineffective, whilst effective interventions shown to improve GDMT uptake have not been instituted. This review synthesizes implementation interventions that increase the uptake of GDMT, discusses barriers and facilitators of implementation, summarizes conceptual frameworks in implementation science that could improve knowledge uptake, and offers suggestions for trial design that could better facilitate end-of-trial implementation. We propose an evidence-to-care conceptual model that could foster the simultaneous generation of evidence and long-term implementation. By adopting principles of implementation science, policymakers, researchers, and clinicians can help reduce the burden of HF on patients and health care systems worldwide
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hal-04196066 , version 1 (05-09-2023)

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Mohamed B Jalloh, Tauben Averbuch, Prashanth Kulkarni, Christopher Granger, James L Januzzi, et al.. Bridging Treatment Implementation Gaps in Patients With Heart Failure. Journal of the American College of Cardiology, 2023, 82 (6), pp.544-558. ⟨10.1016/j.jacc.2023.05.050⟩. ⟨hal-04196066⟩
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