Person-centered cardiology

Manyari D.E.; Belenkie I.; Quiroz O.G. · Person Centered Medicine (2023) · DOI: 10.1007/978-3-031-17650-0_31

Resumen

PCC in the field of cardiology is recommended in all contemporary cardiology guidelines. The few randomized studies and the many uncontrolled investigations on the effects of the PCC approach on clinical outcomes give scientific validity to the fact that PCC is not just ethical and associated with patient satisfaction, but it is also associated with better cardiology clinical outcomes. Evidence-based therapies are generally delivered following the Picker Institute's eight principles of care by several cardiology teams, such as the heart failure clinic and the acute ST-segment elevation myocardial infarction care team. However, in other cardiology settings PCC is a work-in-progress in need of further education, dissemination, and implementation. In this chapter, a review of the strengths and weaknesses as well as possible barriers for an optimal PCC are presented in the most common cardiology settings. The ample opportunities for education, discussion, and addressing the preferences, needs, and values of individual patients with chronic conditions are in contrast with the time-constrains available when caring for patients with life-threatening acute cardiac conditions. Thus, superior communication skills and skilled and motivated multidisciplinary teams are needed to reach meaningful shared-decisions for management in each clinical scenario. Additionally, the need for a continuous open line of communication is emphasized since patient's preferences may change quickly when their clinical condition changes suddenly. Lastly, we call for more randomized studies to accumulate additional data on the scientific validity of PCC, and perhaps then PCC and methods to accomplish it would be placed more prominently in all cardiology guidelines. © Springer Nature Switzerland AG 2023. All rights reserved.

Instituciones: Universidad Nacional Mayor de San Marcos