Development of a User‐Centred Chronic Care Model for Patients With Heart Failure in a Limited‐Resource Setting: A Codesign Study
2025

User-Centered Chronic Care Model for Heart Failure Patients

Sample size: 19 publication 10 minutes Evidence: moderate

Author Information

Author(s): Koontalay Apinya, Botti Mari, Hutchinson Anastasia

Primary Institution: Deakin University

Hypothesis

Can a co-designed chronic care model improve support for heart failure patients in a resource-limited setting?

Conclusion

A nurse-led case management service supported by a multidisciplinary team is a feasible approach to enhance chronic care for heart failure patients in urban Bangkok.

Supporting Evidence

  • Participants identified the need for improved communication and coordination among healthcare providers.
  • The proposed model emphasizes continuity of care and community outreach.
  • Stakeholders agreed on the importance of patient education and self-management strategies.
  • The study highlights the challenges of implementing chronic care models in low-resource settings.
  • Participants engaged actively in the co-design process, fostering a sense of ownership.

Takeaway

This study created a new plan to help heart failure patients get better care by having a team of nurses and doctors work together to support them in the community.

Methodology

The study used a design thinking approach with a co-design workshop involving clinicians, organizational leaders, and patients to develop a tailored chronic care model.

Potential Biases

Potential bias due to the limited patient participation in the workshop.

Limitations

The study was conducted at a single site, limiting generalizability, and faced challenges in patient recruitment due to health issues.

Participant Demographics

Participants included 16 clinicians, 2 organizational leaders, and 1 patient, with a majority being female and aged between 31-60 years.

Digital Object Identifier (DOI)

10.1111/hex.70142

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