Heart failure (HF) is a major public health concern and a leading global cause of mortality, hospitalization, disability, and high associated healthcare costs. According to the recent Heart Failure Association of the ESC (HFA) Atlas survey of the 42 European Society of Cardiology (ESC) member countries, with a population of ∼800 million people, the burden of HF in this region is estimated to involve ∼14 million patients, ∼2.5 million hospitalisations, and ∼2.4 million new cases annually.¹ Multidisciplinary management of HF, defined as patient-centred, multi-specialist and coordinated care from primary to tertiary levels, has been shown to effectively improve outcomes and optimize the utilization of resources.² However, the HFA Atlas has demonstrated that there are significant disparities in healthcare organization and available resources for its management across Europe that result in the heterogenous delivery of contemporary diagnostic modalities and guideline directed therapies (GDT).¹ Furthermore, in most countries, dedicated institutions for HF management (i.e. HF centres) are sparse and insufficient to accommodate for the growing demands for expert HF care.¹

中文翻译：

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ESC/HFA 护理中心质量：统一心力衰竭管理的终极前沿

心力衰竭 (HF) 是一个主要的公共卫生问题，也是导致死亡、住院、残疾和相关医疗保健费用高昂的全球主要原因。根据最近 ESC 心力衰竭协会 (HFA) Atlas 对 42 个欧洲心脏病学会 (ESC) 成员国的调查，该地区人口约为 8 亿，据估计，该地区的 HF 负担涉及 14百万患者，约 250 万住院，每年约 240 万新病例。¹ HF 的多学科管理，定义为以患者为中心、多专家和从初级到三级的协调护理，已被证明可有效改善结果并优化资源利用。²然而，HFA 地图集表明，整个欧洲的医疗保健组织及其管理可用资源存在显着差异，导致当代诊断方式和指南定向治疗 (GDT) 的异质交付。¹此外，在大多数国家，专门的 HF 管理机构（即 HF 中心）稀少，不足以满足对专家 HF 护理日益增长的需求。¹