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

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

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.

Citation

Redfern, J., Maiorana, A., Neubeck, L., Clark, A. M., & Briffa, T. (2011). Achieving coordinated secondary prevention of coronary heart disease for all in need (SPAN). International Journal of Cardiology, 146(1), 1-3. https://doi.org/10.1016/j.ijcard.2010.08.046

• Journal Article Type: Article
• Acceptance Date: Aug 16, 2010
• Online Publication Date: Sep 9, 2010
• Publication Date: 2011-01
• Deposit Date: Nov 2, 2016
• Journal: International Journal of Cardiology
• Print ISSN: 0167-5273
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 146
• Issue: 1
• Pages: 1-3
• DOI: https://doi.org/10.1016/j.ijcard.2010.08.046
• Keywords: Secondary prevention, knowledge translation, organisation of care, acute coronary syndrome,
• Public URL: http://researchrepository.napier.ac.uk/Output/411177