A nurse-facilator intervention improved the use of β-blockers in outpatients with stable congestive heart failure: COMMENTARY

Pugh, Jacqueline; Lawrence, Valerie
January 2004
ACP Journal Club;Jan/Feb2004, Vol. 140 Issue 1, p22
Academic Journal
This article focuses on a study regarding the evaluation of strategies to increase β-blocker use in heart failure, published in the 2003 issue of the journal "Circulation." In the authors' opinion, the study shows that dedicating personnel to supervise specific treatment regimens is more effective than provider education and provider and patient reminders. Treatment goals for specific diseases are achieved more successfully by personnel who are dedicated to addressing that single disease than by primary care providers, who face multiple competing patient and evidence-based demands and limited time. However, the disease-specific case management model ignores the complexity of treating patients with multiple illnesses.


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