caa a22 4500 605478775 CHVBK 20210128100407.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s10741-015-9508-5 doi (NATIONALLICENCE)springer-10.1007/s10741-015-9508-5 The gap between policy and practice: a systematic review of patient-centred care interventions in chronic heart failure [Elektronische Daten] [P. Kane, F. Murtagh, K. Ryan, N. Mahon, B. McAdam, R. McQuillan, C. Ellis-Smith, C. Tracey, C. Howley, C. Raleigh, G. O'Gara, I. Higginson, B. Daveson] 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. The Author(s), 2015 Patient-centred care nationallicence Heart failure nationallicence Systematic review nationallicence Palliative care nationallicence Shared decision-making nationallicence Kane P. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut Murtagh F. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut Ryan K. St. Francis Hospice, Dublin, Ireland aut Mahon N. Mater Misericordiae University Hospital, Dublin, Ireland aut McAdam B. Beaumont Hospital, Dublin, Ireland aut McQuillan R. St. Francis Hospice, Dublin, Ireland aut Ellis-Smith C. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut Tracey C. Mater Misericordiae University Hospital, Dublin, Ireland aut Howley C. Mater Misericordiae University Hospital, Dublin, Ireland aut Raleigh C. Beaumont Hospital, Dublin, Ireland aut O'Gara G. Beaumont Hospital, Dublin, Ireland aut Higginson I. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut Daveson B. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut Heart Failure Reviews Springer US; http://www.springer-ny.com 20/6(2015-11-01), 673-687 1382-4147 20:6<673 2015 20 10741 https://doi.org/10.1007/s10741-015-9508-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10741-015-9508-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kane P. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut NATIONALLICENCE 700 1- Murtagh F. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut NATIONALLICENCE 700 1- Ryan K. St. Francis Hospice, Dublin, Ireland aut NATIONALLICENCE 700 1- Mahon N. Mater Misericordiae University Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- McAdam B. Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- McQuillan R. St. Francis Hospice, Dublin, Ireland aut NATIONALLICENCE 700 1- Ellis-Smith C. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut NATIONALLICENCE 700 1- Tracey C. Mater Misericordiae University Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Howley C. Mater Misericordiae University Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Raleigh C. Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- O'Gara G. Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Higginson I. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut NATIONALLICENCE 700 1- Daveson B. King's College London, Cicely Saunders Institute, Department of Palliative Care, Policy and Rehabilitation, Bessemer Road, SE5 9PJ, London, UK aut NATIONALLICENCE 773 0- Heart Failure Reviews Springer US; http://www.springer-ny.com 20/6(2015-11-01), 673-687 1382-4147 20:6<673 2015 20 10741