The transition from hospital to primary care for patients with acute coronary syndrome: insights from registry data.
Despite guidelines advocating routine engagement with proven secondary prevention strategies, current uptake and access remain suboptimal. Australian registries of acute coronary syndrome have predominantly focused on inpatient care and have highlighted under-referral to cardiac rehabilitation, gaps in medication prescription and limited commencement of lifestyle change before discharge from hospital. Opportunities to improve equity, access and uptake of secondary prevention include better transition between acute and primary care, systematic delivery of prevention in primary care, workforce strengthening and embracing new technologies. Adopting a structured framework for delivery of secondary prevention in primary care will enhance continuity of care and improve coordination of services after acute coronary syndrome.
Cardiovascular Division, The George Institute for Global Health, Sydney, NSW, Australia. jredfern@georgeinstitute.org.au.
Julie
J
Redfern
School of Population Health, University of Western Australia, Perth, WA, Australia.
Tom G
TG
Briffa
D054058:Acute Coronary Syndrome / Q000517:prevention & control / Q000628:therapy*; D001315:Australia; D006297:Health Services Accessibility; D006801:Humans; D008019:Life Style; D011320:Primary Health Care; D011785:Quality Assurance, Health Care; D012042:Registries; D055502:Secondary Prevention