Chronic Care Model for the Management of Patients with Heart Failure in Primary Care.

In a study on the effects of the Veterans Affairs Health Care System, performed in the United States in the years 2002-2006, mortality and HF hospitalization rates also showed a clear trend toward opposite directions. 7 It should be noted that as our CCM program involved primary care physicians, the involvement in the CCM program may lead them to a better awareness of patients’ clinical status and then to a more frequent use of clinical pathways and facilities, including hospitalization.

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