Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .
Effect of multidisciplinary disease management for hospitalized heart failure under a national health insurance programme
Aim Multidisciplinary disease management programmes ( MDPs ) for heart failure have been shown to be effective in Western countries . However , it is not known whether they improve outcomes in a high population density country with a national health insurance programme . Methods In total , 349 patients hospitalized because of heart failure were r and omized into  control  and MDP groups . All-cause death and re-hospitalization related to heart failure were analyzed . The median follow-up period was approximately 2 years . Results Mean patient age was 60 years ; 31 % were women ; and 50 % of patients had coronary artery disease . MDP was associated with fewer all-cause deaths [ hazard ratio ( HR ) = 0.49 , 95 % confidence interval ( CI ) = 0.27–0.91 , P = 0.02 ] and heart failure-related re-hospitalizations ( HR = 0.44 , 95 % CI = 0.25–0.77 , P = 0.004 ) . MDP was still associated with better outcomes for all-cause death ( HR = 0.53 , 95 % CI = 0.29–0.98 , P = 0.04 ) and heart failure-related re-hospitalization ( HR = 0.46 , 95 % CI = 0.26–0.81 , P = 0.007 ) , after adjusting for age , diuretics , diabetes mellitus , chronic kidney disease , hypertension , sodium , and albumin . However , MDPs ’ effect on all-cause mortality and heart failure-related re-hospitalization was significantly attenuated after adjusting for angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers or & bgr;-blockers . A stratified analysis showed that MDP combined with guideline -based medication had synergistic effects . Conclusions MDP is effective in lowering all-cause mortality and re-hospitalization rates related to heart failure under a national health insurance programme . MDP synergistically improves the effectiveness of guidelines -based medications for heart failure
Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .