RESUMO
A pesar de los tratamientos actuales,la morbilidad y la mortalidad de los pacientes con insuficiencia cardiaca continúan siendo elevadas. El diagnóstico tardío, el tratamiento insuficiente de la insuficiencia cardiaca (por ejemplo no emplear los fármacos apropiados, prescribir dosis más bajas que las recomendadas, etc.) y la pobre coordinación entre los diferentes niveles asistenciales pueden explicar, al menos en parte, estos datos. El programa MICCAP se ha desarrollado con el objetivo de optimizar el manejo integrado de los pacientes con insuficiencia cardiaca entre atención primaria y cardiología, a través de la mejora en la coordinación entre ambos niveles asistenciales y la educación médica continuada, reforzando las habilidades diagnósticas y terapéuticas de los médicos de atención primaria en el campo de la insuficiencia cardiaca. En este manuscrito se resumen el racional y los objetivos del programa MICCAP
Despite current treatments, morbidity and mortality of patients with heart failure remain high. The late diagnosis of heart failure, the insufficient heart failure treatment (i.e. not using the appropriate drugs, prescribing lower doses of drugs than recommended, etc.), and a poor coordination between different health care levels, may explain, at least in part, these figures. The Management of Heart Failure in Cardiology and Primary Care (MICCAP) program has been developed with the aim of optimising the integrated management of patients with heart failure between Primary Care and Cardiology, through the improvement of coordination between both health care levels. This includes continuous medical education to reinforce the diagnostic and therapeutic skills of general practitioners in the field of heart failure. The rationale and objectives of the MICCAP program are summarised in this article
Assuntos
Humanos , Cardiologia/organização & administração , Integralidade em Saúde , Insuficiência Cardíaca/terapia , Atenção Primária à Saúde/organização & administração , Competência Clínica , Comportamento Cooperativo , Educação Médica/métodos , Clínicos Gerais/organização & administração , Clínicos Gerais/normas , Insuficiência Cardíaca/diagnósticoRESUMO
Despite current treatments, morbidity and mortality of patients with heart failure remain high. The late diagnosis of heart failure, the insufficient heart failure treatment (i.e. not using the appropriate drugs, prescribing lower doses of drugs than recommended, etc.), and a poor coordination between different health care levels, may explain, at least in part, these figures. The Management of Heart Failure in Cardiology and Primary Care (MICCAP) program has been developed with the aim of optimising the integrated management of patients with heart failure between Primary Care and Cardiology, through the improvement of coordination between both health care levels. This includes continuous medical education to reinforce the diagnostic and therapeutic skills of general practitioners in the field of heart failure. The rationale and objectives of the MICCAP program are summarised in this article.
