Jane E. Sisk, PhD; Paul L. Hebert, PhD; Carol R. Horowitz, MD, MPH; Mary Ann McLaughlin, MD, MPH; Jason J. Wang, PhD; Mark R. Chassin, MD, MPP, MPH
Acknowledgments: The authors thank the nurses who performed the intervention (Wanda Garcia, Adaga Catano, and Gema Richards), the project managers for the study (Aimee Quijano and Leah Tuzzio), the abstractors of cardiac test results (Meredith Reh and Van Hong Nguyen), the survey expert at Gfk NOP (previously RoperASW) for guidance in survey design and patient interviewing (Tim Nanneman), and the analyst who prepared the graphics (Jodi Casabianca). They also thank the key clinicians who supported planning and implementation at the participating hospitals—Aubrey Clarke at Harlem Hospital Center; Elliott Perla at Metropolitan Hospital Center; Valentin Fuster, Thomas McGinn, Elizabeth Clark, Marrick Kukin, and Catherine Halliday at Mount Sinai Medical Center; and Linda Williams at North General Hospital—and Nancy Houston Miller, who shared the materials developed for Stanford University's Kaiser Permanente study and helped train the nurses.
Grant Support: By the Agency for Healthcare Research and Quality (R01 HS 10402).
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Jane E. Sisk, PhD, Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Room 3418, 3311 Toledo Road, Hyattsville, MD 20782; e-mail, email@example.com.
Current Author Addresses: Dr. Sisk: Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Room 3418, 3311 Toledo Road, Hyattsville, MD 20782.
Drs. Hebert, Horowitz, McLaughlin, Wang, and Chassin: Department of Health Policy, Mount Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029.
Sisk JE, Hebert PL, Horowitz CR, McLaughlin MA, Wang JJ, Chassin MR. Effects of Nurse Management on the Quality of Heart Failure Care in Minority Communities: A Randomized Trial. Ann Intern Med. 2006;145:273-283. doi: 10.7326/0003-4819-145-4-200608150-00007
Download citation file:
Published: Ann Intern Med. 2006;145(4):273-283.
Heart failure disproportionately affects black and elderly people and is a leading cause of hospitalization among people 65 years of age or older (1-2). Although effective therapies can improve functioning and survival in patients with systolic dysfunction, many patients may not be receiving the full benefit of existing knowledge (3-5).
Patients play a critical role in managing a chronic condition, such as heart failure. Patients may not realize that specific symptoms are related to heart failure or that adhering to medications and diet can reduce symptoms and life-threatening episodes (6). Evidence-based guidelines for systolic dysfunction recommend that physicians not only offer patients effective therapies but also teach them the importance of adherence and self-monitoring (3-4). Clinicians have fallen short in prescribing angiotensin-converting enzyme inhibitors and β-blockers for patients with systolic dysfunction ((5), (7-8)). When prescribed, the doses have often been lower than those proven to convey greater benefits ((3), (9)). Clinicians have also documented counseling only a fraction of patients with heart failure about self-management (10-11). System-related factors may also influence patients' ability to obtain quality care (12-13).
Learn more about subscription options.
Register Now for a free account.
Cardiology, Hospital Medicine, Heart Failure.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only