英国心血管协会对英格兰心脏病学多学科会议的提供和结构进行的调查。

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Clinical Medicine Pub Date : 2024-09-12 DOI:10.1016/j.clinme.2024.100243
B Liu, R A Archbold, J P Greenwood, S Ray, S S Hothi
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引用次数: 0

摘要

多学科会议(MDM)是心脏病学许多领域临床决策的核心。本研究对照国家指南,评估了目前英格兰心脏病学多学科会议的提供情况和结构。英国心血管学会(BCS)成员就心肌血管重建、心内膜炎、心力衰竭、主动脉瓣、二尖瓣和三尖瓣MDM的频率、核心与会者和组织方面接受了调查,无论是本地、区域性还是区域外。此外,还对电生理学 (EP)、遗传性心脏病和成人先天性心脏病 (ACHD) MDM 的使用情况进行了评估。调查回复来自英格兰的 64 家医院,其中 40 家(62%)为二级医疗中心,24 家(38%)为三级医疗中心。所有单位均可使用血管重建 MDM,但其中 6%(均为二级医疗中心)缺乏外科代表。94%的中心有心力衰竭MDM,但7%的中心没有心力衰竭专科心脏病专家,23%的中心没有器械专家。61%的中心有专门的心内膜炎 MDM,但11%的中心没有微生物学家或传染病医生参加,22%的中心没有外科医生参加。69%的中心有主动脉瓣MDM,56%的中心有二尖瓣和三尖瓣MDM。四分之一的中心称无法获得 EP,三分之一的中心称无法获得 ICC 或 ACHD MDM。英格兰需要大力改善心脏科 MDM 的供应和结构,以符合国家指南的要求。
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British Cardiovascular Society survey of the provision and structure of cardiology multidisciplinary meetings in England.

Multidisciplinary meetings (MDMs) are central to clinical decision-making in many areas of cardiology. This study assessed current provision and structure of cardiology MDMs in England in comparison with national guidelines. British Cardiovascular Society (BCS) members were surveyed regarding frequency, core attendees, and organisational aspects of cardiology MDMs for myocardial revascularisation, endocarditis, heart failure, aortic valve, mitral and tricuspid valve MDMs, whether local, regional or outside of the region. Access to electrophysiology (EP), inherited cardiac conditions, and adult congenital heart disease (ACHD) MDMs was also assessed. Survey responses were received from 64 hospitals across England, of which 40 (62%) were secondary care centres and 24 (38%) were tertiary care centres. All units had access to revascularisation MDMs, although 6% of them (all in secondary care centres) lacked any surgical representation. Heart failure MDMs were available in 94% of centres, but 7% reported no attendance by a cardiologist with specialist interest in heart failure, and 23% reported no attendance by a device specialist. 61% of centres had access to dedicated endocarditis MDMs; however, 11% were not attended by a microbiologist or infectious disease physician, and 22% were not attended by a surgeon. Aortic valve MDMs were available in 69% of centres, while mitral and tricuspid valve MDMs were available in 56% of centres. One quarter of centres reported no access to EP, and one third of centres reported no access to ICC or ACHD MDMs. Substantial improvements in provision and structure of cardiology MDMs in England are needed in order to meet national guidance.

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来源期刊
Clinical Medicine
Clinical Medicine 医学-医学:内科
CiteScore
7.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Clinical Medicine is aimed at practising physicians in the UK and overseas and has relevance to all those managing or working within the healthcare sector. Available in print and online, the journal seeks to encourage high standards of medical care by promoting good clinical practice through original research, review and comment. The journal also includes a dedicated continuing medical education (CME) section in each issue. This presents the latest advances in a chosen specialty, with self-assessment questions at the end of each topic enabling CPD accreditation to be acquired. ISSN: 1470-2118 E-ISSN: 1473-4893 Frequency: 6 issues per year
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