Author/Authors :
Rahimi, Kazem University of Oxford - George Centre for Healthcare Innovation, UK , Rahimi, Kazem Oxford University Hospitals NHS Trust - Departmentof Cardiology, UK , Rahimi, Kazem University of Oxford. - Department of Cardiovascular Medicine, UK , Patel, Anushka The George Institute for Global Health, Australia , Patel, Anushka The George Institute for Global Health., India , MacMahon, Stephen University of Oxford - George Centre for Healthcare Innovation, UK , MacMahon, Stephen The George Institute for Global Health, Australia
Abstract :
The growing prevalence of heart failure and the cost associated with its management has become a major burden for most health care sys- tems worldwide.We review the evidence from randomized studies of innovative models of care delivery for patients with heart failure, refer to some of the most influential non-randomized studies, and discuss the implications of the available evidence for practitioners, policy makers and researchers. Acknowledging that the relevance of evidence depends on the user s needs, we conclude that the likely impact of most models of care on health outcomes and resource utilization is likely to be modest. New approaches for design and evaluation are therefore required. Given the dynamic complexity of the health service environments in which any such models of care must be implemented, the future development of innovative models of care delivery would benefit from closer collaboration between service users, providers, policy makers and multi-disciplinary researchers, as well as more rigorous evaluation.
