Patient-focussed interventional care

Summary

Patient focussed care is an increasing priority across the spectrum of cardiovascular medicine. In interventional cardiology, the rapidly expanding portfolio of procedures and devices now available to treat both coronary and structural heart disease has now, more than ever, highlighted the need for a patient focussed approach to planning and performing these procedures. Patient focussed interventional care is multifaceted and includes not only activities at a patient level, such as shared decision making, but also activities at a population level, such as advocating for equitable access to interventions. This chapter therefore emphasises the many ways in which patient focussed care can be achieved and identifies eight key areas to address this goal. These include patient advocacy to ensure equitable access to treatments, shared decision making between patients and physicians, ensuring appropriate informed consent processes, use of patient orientated outcome measures (PROM) both in daily practice and in clinical trials, use of patient reported experience measurements (PREM) to improve the quality of patient care, patient involvement in research, patient involvement in clinical practice guideline development and issues surrounding patients as educators. Huge strides have been made in redesigning care to a more patient centered approach, however, more can be done....