¶ … Health Care Services for Myocardial Infarction:
Myocardial Infarction (MI) is commonly known as Acute Myocardial Infarction (AMI) is a heart attack disease in which blood supply to a part of the heart is interrupted resulting in ultimate irreversible damage and cell death in that part of the heart (Khan, 2010). As one of cardiovascular diseases, myocardial infarction can be regarded as one of the leading causes of death for men and women across the globe. While the condition is attributed to various causes, the major cause of myocardial infarction is partial or complete occlusion of the coronary arteries. The partial or total occlusion of the coronary arteries occurs because of a rupture of an atherosclerotic plaque. This paper provides a detailed analysis of the existing primary health care services used to target myocardial infarction in Australia. The analysis of the current primary health care services and initiatives that exist to target the condition is followed by a proposal to enhance the existing services in Australia that address the condition.
Current Primary Health Care Services and Initiatives toward Myocardial Infarction:
Similar to other cardiovascular diseases, myocardial infarction can be considered as one of the leading causes of deaths in Australia for several decades ("Cardiovascular Disease Mortality," 2010). Cardiovascular diseases account for over 46,000 deaths in Australia every year while an additional 3.7 million people in the population have long-term cardiovascular diseases. Since myocardial infarction is a heart condition with significant impacts, several primary health care services and initiatives have been developed to target the disease. While some of the services and initiatives have helped in treatment of the disease, there is need for improved treatment for myocardial infarction. The new initiatives to lessen delay in response to the symptoms of acute myocardial infarction must consider the emotional and cognitive processes and differences in response to the patients' specific cultures (McKinley, Moser & Dracup, 2000, p.246). However, the main primary health care services and initiatives that exist to target this condition include & #8230;
Cardiac Hospitalization Atherosclerosis Management Program (CHAMP):
Throughout the years, emergency physicians have channeled their efforts towards rapid evaluation and targeted intervention as means for addressing the most severe medical manifestations of myocardial infarction. This is mainly because the condition can be largely identified with an electrocardiogram and the clear understanding of time-dependent benefit of reperfusion therapy. As a result of these initiatives, quality improvement efforts have evolved to focus on care of myocardial infarction patients.
The improvement of clinical outcomes for acute myocardial infarction patients has led to the introduction of the first health care initiative i.e. Cardiac Hospitalization Atherosclerosis Management Program (CHAMP). CHAMP focused on implementing secondary prevention treatments and risk-lessening counseling (Bottorff, Nutescu & Spinler, 2007, p.1145). As part of enhancing the utilization of secondary-prevention drug therapies, the initiative involves the use of focused treatment algorithm, educational lectures, and standardized admission orders.
Get with the Guidelines (GWTG) Program:
The success of CHAMP contributed to the development of another health care initiative to target acute myocardial infarction i.e. The Get with the Guidelines Program, which uses an internet-based data-management system to facilitate analysis of the care of these patients while in hospital. The health care initiative also facilitates the evaluation of hospital performance in relation to adherence to the guidelines. GWTG incorporates prospective collection of data, measuring performance, and reminder screens to give immediate reference to the relevant guidelines and alerts if there is omission of measurements and interventions.
Since its introduction, the initiative has been expanded nationally and proven to be a sustainable and effective continuous quality improvement program that capitalizes on the teachable moment. This concept is related to the introduction of suitable secondary prevention therapy after a percutaneous coronary intervention and linked enhancements in treatment rates and long-term compliance and clinical outcomes of patients.
Thrombolytic Therapy:
One of the major primary health care services that exist to target myocardial infarction is thrombolytic therapy. Thrombolytic therapy is a primary health care service that is used for a percentage of patients with acute myocardial infarction who require thrombolysis ("Measure Summary," 2007). Thrombolytic therapy is carried out within 30 minutes of presentation to...
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