The impact of strengthening chronic disease management outpatient services on the prognosis of coronary heart disease patients

Objective:To evaluate the impact of strengthening chronic disease managementoutpatient services on medication adherence,cardiovascular event readmission rate,and cardiacfunction rating in patients with coronary heart disease .Method:From January 2012 to December2013,180 patients diagnosed with coronary heart disease who visited the Cardiovascular Departmentof the First Affiliated Hospital of Chengdu Medical College were divided into a strengthenedmanagement group and a general management group (control group).The strengthened managementgroup will follow up every 2 weeks through standardized chronic disease management outpatientmethods,and undergo regular testing every 3 months .The general management group will follow upthrough monthly outpatient or telephone visits .Observe medication adherence,readmission rate ofcardiovascular events,and cardiac function rating (NYHA rating)in two groups of patients .Result:After 2 years of follow-up, it was found that in the strengthened management group,aspirin/clopidogrel (74%)vs．54%，P＜0 .01)、 The medication rates of statins (69%vs .46%,P<0 .01),ACEI/ARB (76%vs .46%,P<0 .01),and beta blockers (63%vs .42%,P<0 .05)were allhigher than those of the general management group;The readmission rate due to cardiovascularevents is also relatively low (26%vs .42%,P<0 .05).Conclusion:Strengthening standardizedmanagement of coronary heart disease patients can help improve medication compliance and reducethe readmission rate of cardiovascular events.