Jeffrey Rakover, Cardiovascular Roundtable
Despite recent gains, physicians report applying clinical guidelines to only about half of their patients. A number of factors drive sub-optimal compliance. As the Roundtable pointed out in The New Economics of Quality, these include:
- Rapidly changing evidence-based guidelines, and guidelines’ complexity
- Fears of “cookbook” medicine and loss of autonomy
- Inadequate integration into workflows
As profiled in this month’s edition of Health Affairs, Boston Children’s Hospital addressed these challenges through care pathways that stress flexibility, evidence, and principled clinical variation.
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The population of adults living with congenital heart disease has increased significantly in recent years, as more and more children with CHD are living past their childhood due largely in part to treatment innovations. Facing unique challenges in caring for this complex patient population, providers must often decide on the most appropriate care setting for adult patients with congenital heart disease.
A recent articleexplores this topic in-depth, questioning whether or not pediatric hospitals are best equipped to care for ACHD patients.
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