二月是一个庆祝心灵之事的月份. 最著名的, 情人节是交换卡片的日子, 礼物, 以及爱的表白. But February is also American Heart Month, an opportunity to promote heart health awareness.
来纪念我们所爱的女人, 心电图 promotes the synergy of women’s health 和 cardiac health service lines as a way to enhance quality outcomes in these two important areas. 快速的在线搜索揭示了令人不安的数据妇女与心脏病. From the American Heart Association’s Go Red for Women website, here are just four “关于女性和心脏病的事实.”
The prevalence of women’s heart disease is exacerbated by race-based factors 和 social determinants of health (SDOH) that contribute significantly toward women’s risk during 怀孕 和 throughout their lifetimes.
There is more sobering news in the conclusion from the AHA Journal article “Social Determinants of Suboptimal Cardiovascular Health Among Pregnant Women in the United States.”
病人/供应商关系
Within health systems, an opportunity to improve women’s heart care begins in the outpatient arena. 许多女性变得强壮, trusted relationships with their 妇产医院 providers during their pregnancies. 心电图’s data shows that more than 30% opt to stay with those providers postdelivery for their ongoing wellness care. 妇产医院 providers already manage a wide variety of clinical conditions related to 怀孕 和 gynecology.
Because their patients trust them for their healthcare needs, these providers must also stay current with primary care guidelines. 这包括最佳心脏护理的健康筛查, an important topic addressed in this 2018 AHA Journal article, “Promoting Risk Identification 和 Reduction of Cardiovascular Disease in Women through Collaboration with Obstetricians 和 Gynecologists,” from the American Heart Association 和 American College of Obstetricians 和 Gynecologists.
除了, 妇产科bet8网站备用应该考虑基于人群的风险, 包括基于SDOH的, along with each patient’s unique medical history 和 screen for heart disease accordingly.
基础设施
As hospitals 和 health systems strive to change the narrative around health disparities broadly 和 women’s heart care specifically, it is worthwhile for an organization to pursue a thorough assessment of its infrastructure. Ideas for improvement are to identify connection points between women’s health 和 cardiac services that can encourage 和 enhance system-wide thinking, 和 incorporate a variety of perspectives with the goal of enhancing women’s heart care. 美国心脏协会杂志上的文章 关于SDOH, 怀孕, 和 cardiovascular health concludes that SDOH correlates to cardiovascular health for pregnant women, 和 a knowledge of SDOH factors contributes to improved clinical decision-making.
Evaluation of an organization’s infrastructure starts with studying the system’s process 和 outcomes data, looking for disparate 和 variable clinical outcomes across a broad range of metrics.
1. 建立基准
First, use health system data to benchmark against high performers with similar characteristics. Some suggested reviews include evaluating outcomes by gender for cardiac registry data (ACC/NCDR, AHA GWTG) 和 determining the number of unplanned readmissions or ED visits within 30 days of discharge. 也, examine 怀孕 outcomes 和 rates of cardiac conditions like preeclampsia 和 readmissions for hypertension 和 related conditions.
在分析数据时, 不要只看总体数据, 但也比较了不同的人群:女性和男性, 和 white populations compared to the predominant race or ethnic groups in the health system’s specific market—these two categories might provide insight into the experience of diverse patient populations.
2. 评估bet8娱乐线结构
下一个, evaluate the overall service line structure using a framework like 心电图’s Women’s Health 和 Cardiology Service Line wheels, 如下所示. Does the organization have a strong service line structure for cardiology 和 women’s services? 如果答案是否定的, the best opportunity may be to start by organizing those two areas carefully, 然后随着bet8娱乐领域的成熟,将两者连接起来.
3. 加强各bet8娱乐部门之间的联系
如果系统已经有完善的bet8娱乐线路, determine the strength of the connection between cardiology 和 women’s health service lines, 包括初级保健, 妇产医院, 和MFM. The two areas may be anywhere on a continuum from well connected to virtual strangers. Connections may be found in the number of shared patients or the screening 和 referral processes, 分享临床会议机会, 或者综合位置.
Listed below are paths that can ultimately lead to a formalized service line relationship.
- 多学科委员会
- 为高危妇女提供多学科综合诊所
- 为妇女健康提供者提供常规心血管健康CMEbet8娱乐
- 共享识别和消除隐性偏见的培训
- 专家之间轻松无缝的转诊, with a focus on shared care (because women need primary care, 他们信任的妇产科bet8网站备用, 和 心脏病学)
- St和ardized provider tools for review of systems 和 routine assessment of aggregate data
- 正式的简历筛选和社区教育项目
- Women’s cardiovascular health program co-led by cardiologists 和 妇产医院s
With the collective expertise of providers in cardiology 和 women’s health 和 administrative leaders, hospitals 和 health systems can work to improve women’s heart health. A multidisciplinary team model is the best practice approach for tackling gaps in care 和 improving the long-st和ing disparities in care for women.
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出版于2022年2月24日