Achieving coordinated secondary prevention of coronary heart disease for all in need (SPAN)

Julie Redfern, Andrew Maiorana, Lis Neubeck, Alexander M. Clark, Tom Briffa

Research output: Contribution to journalEditorial

40 Citations (Scopus)

Abstract

Effective disease management after an acute coronary event is essential, but infrequently implemented, due to challenges around the research evidence and its translation. Policy-makers, health professionals and researchers are confronted by the need for increased services, to improve access and equity, but often with finite and reducing resources. There is a clear need to develop innovative ways of delivering ongoing preventative care to the vast and increasing population with coronary disease. However, translation into clinical practice is becoming increasingly difficult while the volume of trial and review evidence of disparate models of delivery expands. Indeed, the prevention literature has evolved into a complex web of differing models offered to diverse patient populations in an array of settings. We describe a united organisation of care that aims to facilitate coordinated secondary prevention for all in need (SPAN). SPAN is inherently flexible yet provides a minimum level of health service standardisation. It can be delivered across any area health service regardless of a patient's age, gender, ethnicity, geographical location, or socioeconomic status. Importantly, the setting, communication technologies and components of each patient's care are governed and woven into continuing care provided by the family physician in concert with a cardiac care facilitator.

Original languageEnglish
Pages (from-to)1-3
Number of pages3
JournalInternational Journal of Cardiology
Volume146
Issue number1
DOIs
Publication statusPublished - 7 Jan. 2011

Keywords

  • Acute coronary syndrome
  • Knowledge translation
  • Organisation of care
  • Secondary prevention

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