Differences in Priorities for Heart Failure Management Between Cardiologists and General Practitioners in Japan

• Kinugasa Yoshiharu

  Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University

• Saitoh Masakazu

  Juntendo University, Faculty of Health Science

• Ikegame Toshimi

  Sakakibara Heart Institute

• Ikarashi Aoi

  Department of Cardiovascular Medicine, St Luke’s International Hospital

• Kadota Kazushige

  Department of Cardiology, Kurashiki Central Hospital

• Kamiya Kentaro

  Department of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences

• Kohsaka Shun

  Department of Cardiology, Keio University School of Medicine

• Mizuno Atsushi

  Department of Cardiovascular Medicine, St Luke’s International Hospital

• Miyajima Isao

  Department of Clinical Nutrition, Chikamori Hospital

• Nakane Eisaku

  Cardiovascular Center, the Tazuke Kofukai Medical Research Institute, Kitano Hospital

• Nei Azusa

  Toho University Medical Center Ohashi Hospital

• Shibata Tatsuhiro

  Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine

• Yokoyama Hiroyuki

  Yokoyama Cardiology Clinic

• Yumikura Sei

  Yumikura Clinic

• Yumino Dai

  Yumino Medical

• Watanabe Noboru

  Department of Cardiology, Hokushin General Hospital

• Isobe Mitsuaki

  Sakakibara Heart Institute Tokyo Medical and Dental University

• on behalf of the Research Team for the Provision of Heart Failure Care Centered on General Practitioners in the Community

抄録

Background:The purpose of this study was to clarify the current status and issues of community collaboration in heart failure (HF) using a nationwide questionnaire survey. Methods and Results:We conducted a survey among hospital cardiologists and general practitioners (GPs) using a web-based questionnaire developed with the Delphi method, to assess the quality of community collaboration in HF. We received responses from 46 of the 47 prefectures in Japan, including from 281 hospital cardiologists and 145 GPs. The survey included the following characteristics and issues regarding community collaboration. (1) Hospital cardiologists prioritized medical intervention for preventing HF hospitalization and death whereas GPs prioritized supporting the daily living of patients and their families. (2) Hospital cardiologists have not provided information that meets the needs of GPs, and few regions have a community-based system that allows for the sharing of information about patients with HF. (3) In the transition to home care, there are few opportunities for direct communication between hospitals and community staff, and consultation systems are not well developed. Conclusions:The current study clarified the real-world status and issues of community collaboration for HF in Japan, especially the differences in priorities for HF management between hospital cardiologists and GPs. Our data will contribute to the future direction and promotion of community collaboration in HF management.

収録刊行物

• Circulation Journal

  Circulation Journal 85 (9), 1565-1574, 2021-08-25

  一般社団法人 日本循環器学会

キーワード

• Information sharing
• Multidisciplinary care
• Quality indicators

詳細情報

• CRID: 1390570630078223360
• NII論文ID: 130008077944
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-21-0335
• ISSN: 13474820
• ISSN: 13469843
• NDL書誌ID: 031640325
• PubMed: 34234052
• Web Site: http://id.ndl.go.jp/bib/031640325
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I031640325
• Web Site: https://www.jstage.jst.go.jp/article/circj/85/9/85_CJ-21-0335/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2022185289
• 本文言語コード: en
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可