This first comprehensive combined Australia and New Zealand audit of ACS care identified variations in the application of the ACS evidence base and varying rates of inhospital clinical events. A focus on integrated clinical service delivery may provide greater translation of evidence to practice and improve ACS outcomes in Australia and New Zealand.
Avoidable hospitalizations can be classified into three categories:• Potentially preventable hospitalizations;• Rehospitalizations (readmissions); and • Inappropriate hospitalizations.
Congestive heart failure (CHF) is a chronic and often devastating cardiovascular disorder with no cure. There has been much advancement in the last two decades that has seen improvements in morbidity and mortality. Clinicians have also noted variations in the responses to therapies. More detailed observations also point to clusters of diseases, phenotypic groupings, unusual severity and the rates at which CHF occurs. Medical genetics is playing an increasingly important role in answering some of these observations. This developing field in many respects provides more information than is currently clinically applicable. This includes making sense of the established single gene mutations or uncommon private mutations. In this thematic series which discusses the many factors that could be relevant for CHF care, once established treatments are available in the communities; this section addresses a contextual role for medical genetics.
Fee-for-service reimbursement may explain differences in the provision of selected guideline-advocated components of ACS care between privately insured and public patients.
S106Heart, Lung and Circulation Abstracts 2009;18S:S1-S286 was not significant (p = 0.23). There were 15 deaths in each group (p = 0.70). Conclusions: Although the primary end-point of CHAT (Packer composite) was not met, TS significantly reduced the number of HF patients hospitalised amongst a rural and remote cohort. These data suggest that TS may be an effective (and potentially cost-effective) approach to improve clinical outcomes in rural and remote HF patients.
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