PMID- 26435042
OWN - NLM
STAT- MEDLINE
DCOM- 20160721
LR  - 20220129
IS  - 1573-7322 (Electronic)
IS  - 1382-4147 (Print)
IS  - 1382-4147 (Linking)
VI  - 20
IP  - 6
DP  - 2015 Nov
TI  - The gap between policy and practice: a systematic review of patient-centred care 
      interventions in chronic heart failure.
PG  - 673-87
LID - 10.1007/s10741-015-9508-5 [doi]
AB  - Patient-centred care (PCC) is recommended in policy documents for chronic heart 
      failure (CHF) service provision, yet it lacks an agreed definition. A systematic 
      review was conducted to identify PCC interventions in CHF and to describe the PCC 
      domains and outcomes. Medline, Embase, CINAHL, PsycINFO, ASSIA, the Cochrane 
      database, clinicaltrials.gov, key journals and citations were searched for 
      original studies on patients with CHF staged II-IV using the New York Heart 
      Association (NYHA) classification. Included interventions actively supported 
      patients to play informed, active roles in decision-making about their goals of 
      care. Search terms included 'patient-centred care', 'quality of life' and 'shared 
      decision making'. Of 13,944 screened citations, 15 articles regarding 10 studies 
      were included involving 2540 CHF patients. Three studies were randomised 
      controlled trials, and seven were non-randomised studies. PCC interventions 
      focused on collaborative goal setting between patients and healthcare 
      professionals regarding immediate clinical choices and future care. Core domains 
      included healthcare professional-patient collaboration, identification of patient 
      preferences, patient-identified goals and patient motivation. While the strength 
      of evidence is poor, PCC has been shown to reduce symptom burden, improve 
      health-related quality of life, reduce readmission rates and enhance patient 
      engagement for patients with CHF. There is a small but growing body of evidence, 
      which demonstrates the benefits of a PCC approach to care for CHF patients. 
      Research is needed to identify the key components of effective PCC interventions 
      before being able to deliver on policy recommendations.
FAU - Kane, P M
AU  - Kane PM
AD  - King's College London, Cicely Saunders Institute, Department of Palliative Care, 
      Policy and Rehabilitation, Bessemer Road, London, SE5 9PJ, UK. 
      pauline.m.kane@kcl.ac.uk.
FAU - Murtagh, F E M
AU  - Murtagh FE
AD  - King's College London, Cicely Saunders Institute, Department of Palliative Care, 
      Policy and Rehabilitation, Bessemer Road, London, SE5 9PJ, UK.
FAU - Ryan, K
AU  - Ryan K
AD  - St. Francis Hospice, Dublin, Ireland.
AD  - Mater Misericordiae University Hospital, Dublin, Ireland.
FAU - Mahon, N G
AU  - Mahon NG
AD  - Mater Misericordiae University Hospital, Dublin, Ireland.
FAU - McAdam, B
AU  - McAdam B
AD  - Beaumont Hospital, Dublin, Ireland.
FAU - McQuillan, R
AU  - McQuillan R
AD  - St. Francis Hospice, Dublin, Ireland.
AD  - Beaumont Hospital, Dublin, Ireland.
FAU - Ellis-Smith, C
AU  - Ellis-Smith C
AD  - King's College London, Cicely Saunders Institute, Department of Palliative Care, 
      Policy and Rehabilitation, Bessemer Road, London, SE5 9PJ, UK.
FAU - Tracey, C
AU  - Tracey C
AD  - Mater Misericordiae University Hospital, Dublin, Ireland.
FAU - Howley, C
AU  - Howley C
AD  - Mater Misericordiae University Hospital, Dublin, Ireland.
FAU - Raleigh, C
AU  - Raleigh C
AD  - Beaumont Hospital, Dublin, Ireland.
FAU - O'Gara, G
AU  - O'Gara G
AD  - Beaumont Hospital, Dublin, Ireland.
FAU - Higginson, I J
AU  - Higginson IJ
AD  - King's College London, Cicely Saunders Institute, Department of Palliative Care, 
      Policy and Rehabilitation, Bessemer Road, London, SE5 9PJ, UK.
FAU - Daveson, B A
AU  - Daveson BA
AD  - King's College London, Cicely Saunders Institute, Department of Palliative Care, 
      Policy and Rehabilitation, Bessemer Road, London, SE5 9PJ, UK.
LA  - eng
GR  - RP-PG-1210-12015/DH_/Department of Health/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
PL  - United States
TA  - Heart Fail Rev
JT  - Heart failure reviews
JID - 9612481
SB  - IM
MH  - Chronic Disease
MH  - *Decision Making
MH  - Heart Failure/*therapy
MH  - Humans
MH  - Patient-Centered Care/*legislation & jurisprudence
MH  - Quality of Life
MH  - Randomized Controlled Trials as Topic
PMC - PMC4608978
OTO - NOTNLM
OT  - Heart failure
OT  - Palliative care
OT  - Patient-centred care
OT  - Shared decision-making
OT  - Systematic review
EDAT- 2015/10/06 06:00
MHDA- 2016/07/22 06:00
PMCR- 2015/10/05
CRDT- 2015/10/06 06:00
PHST- 2015/10/06 06:00 [entrez]
PHST- 2015/10/06 06:00 [pubmed]
PHST- 2016/07/22 06:00 [medline]
PHST- 2015/10/05 00:00 [pmc-release]
AID - 10.1007/s10741-015-9508-5 [pii]
AID - 9508 [pii]
AID - 10.1007/s10741-015-9508-5 [doi]
PST - ppublish
SO  - Heart Fail Rev. 2015 Nov;20(6):673-87. doi: 10.1007/s10741-015-9508-5.