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Title: Implementing guideline based heart failure care in the Northern Territory: challenges and solutions.
Authors: Iyngkaran, Pupalan
Harris, Melanie
Ilton, Marcus
Kangaharan, Nadarajan
Battersby, Malcolm
Stewart, Simon
Brown, Alex
Citation: Heart, lung & circulation 2014-05; 23(5): 391-406
Abstract: The Northern Territory of Australia is a vast area serviced by two major tertiary hospitals. It has both a unique demography and geography, which pose challenges for delivering optimal heart failure services. The prevalence of congestive heart failure continues to increase, imposing a significant burden on health infrastructure and health care costs. Specific patient groups suffer disproportionately from increased disease severity or service related issues often represented as a "health care gap". The syndrome itself is characterised by ongoing symptoms interspersed with acute decompensation requiring lifelong therapy and is rarely reversible. For the individual client the overwhelming attention to heart failure care and the impact of health care gaps can be devastating. This gap may also contribute to widening socio-economic differentials for families and communities as they seek to take on some of the care responsibilities. This review explores the challenges of heart failure best practice in the Northern Territory and the opportunities to improve on service delivery. The discussions highlighted could have implications for health service delivery throughout regional centres in Australia and health systems in other countries.
Click to open PubMed article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/24548637
Click to open Pubmed Article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/24548637
Journal title: Heart, lung & circulation
Publication Date: 2014-05
Type: Journal Article
Research Support, Non-U.S. Gov't
Review
URI: https://hdl.handle.net/10137/5614
DOI: 10.1016/j.hlc.2013.12.005
Appears in Collections:(a) NT Health Research Collection

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