[Management of heart failure in cardiology and primary care (MICCAP) program: Improving the management of patients with heart failure]

Semergen. 2018 Nov-Dec;44(8):572-578. doi: 10.1016/j.semerg.2018.02.006. Epub 2018 Mar 26.
[Article in Spanish]

Abstract

Despite current treatments, morbidity and mortality of patients with heart failure remain high. The late diagnosis of heart failure, the insufficient heart failure treatment (i.e. not using the appropriate drugs, prescribing lower doses of drugs than recommended, etc.), and a poor coordination between different health care levels, may explain, at least in part, these figures. The Management of Heart Failure in Cardiology and Primary Care (MICCAP) program has been developed with the aim of optimising the integrated management of patients with heart failure between Primary Care and Cardiology, through the improvement of coordination between both health care levels. This includes continuous medical education to reinforce the diagnostic and therapeutic skills of general practitioners in the field of heart failure. The rationale and objectives of the MICCAP program are summarised in this article.

Keywords: Atención Primaria; Cardiology; Cardiología; Coordinación; Coordination; Educación Médica; Heart Failure; Insuficiencia Cardiaca; Medical Education; Primary Care; Sacubitril/valsartan.

MeSH terms

  • Cardiology / organization & administration*
  • Clinical Competence
  • Cooperative Behavior
  • Delivery of Health Care, Integrated / organization & administration*
  • Education, Medical / methods
  • General Practitioners / organization & administration
  • General Practitioners / standards
  • Heart Failure / diagnosis
  • Heart Failure / therapy*
  • Humans
  • Primary Health Care / organization & administration*