Bridging the Care Gap - Continuing Medical Implementation Inc桥接的保健差距，实现公司继续医学.pptVIP

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Bridging the Care Gap - Continuing Medical Implementation Inc桥接的保健差距，实现公司继续医学.ppt

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Bridging the Care Gap - Continuing Medical Implementation Inc桥接的保健差距，实现公司继续医学

Bridging the Care Gap2007 Joel Niznick MD FRCPC Care Gap Care Gap Failure to, translate, transfer and utilize medical knowledge effectively Usual Care ≠ best care Population outcomes do not match results of clinical trials Patient, physicians payers do not reap the benefits of validated medical knowledge Care Gap The difference between what we know and what we do The difference between achievable and actual outcomes The failure to systematize knowledge and apply it consistently Knowledge Translation Definition: “Knowledge translation is the effective and timely incorporation of evidence-based information into the practices of health professionals in such a way as to effect optimal health care outcomes and maximize the potential of the health system.” Adapted from the Canadian Institutes for Health Research definition, 2001 INTER-HEART: Risk of acute MI associated with risk factors in the overall population INTER-HEART: Population-Attributable Risk (PAR) Acute MI in the overall population INTERHEART: Summary Nine simple risk factors are strongly associated with AMI worldwide. These risk factors are even more important in the young, and their effects are consistent in men and women, across all ethnic groups and all regions. Abnormal Apo-B/ApoA-1 ratio and smoking are the most important risk factors and account for 2/3 of the PAR. All 9 risk factors account for 90% of the PAR globally and in most regions. IMPLICATIONS: Implementing preventive strategies based on our current knowledge would avert the majority of premature CHD worldwide. Prevention Goals for CVD Primary Prevention Dietary modification ? 30% fat ? 7%saturated fat ? 200mg/day cholesterol. Weight loss 5-10% TBW Physical activity 30 min 5X/wk Smoking cessation Potential Cumulative Impact of 1° Prevention Strategies Potential Cumulative Impact of 2° Prevention Treatments CVD 2° Prevention Cocktail Top 10 Evidence Based Advances in CV Disease ASA/Plavix-CAD/ACS UF/LMW Heparin