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|Title:||Rheumatic heart disease: infectious disease origin, chronic care approach.|
|Authors:||Katzenellenbogen, Judith M|
Ralph, Anna P
Carapetis, Jonathan R
|Affiliation:||Telethon Kids Institute, The University of Western Australia, Perth, Western, Australia. firstname.lastname@example.org.. School of Population and Global Health, The University of Western Australia, Perth, Western, Australia. email@example.com..|
Global and Tropical Health, Menzies School of Health Research, Darwin, Northern Territory, Australia.. Division of Medicine, Royal Darwin Hospital, Darwin, NT, Australia..
Telethon Kids Institute, The University of Western Australia, Perth, Western, Australia..
Telethon Kids Institute, The University of Western Australia, Perth, Western, Australia.. Princess Margaret Hospital for Children, Perth, Western, Australia..
|Citation:||BMC health services research 2017-11-29; 17(1): 793|
|Abstract:||Rheumatic heart disease (RHD) is a chronic cardiac condition with an infectious aetiology, causing high disease burden in low-income settings. Affected individuals are young and associated morbidity is high. However, RHD is relatively neglected due to the populations involved and its lower incidence relative to other heart diseases. In this narrative review, we describe how RHD care can be informed by and integrated with models of care developed for priority non-communicable diseases (coronary heart disease), and high-burden communicable diseases (tuberculosis). Examining the four-level prevention model (primordial through tertiary prevention) suggests primordial and primary prevention of RHD can leverage off existing tuberculosis control efforts, given shared risk factors. Successes in coronary heart disease control provide inspiration for similarly bold initiatives for RHD. Further, we illustrate how the Chronic Care Model (CCM), developed for use in non-communicable diseases, offers a relevant framework to approach RHD care. Systems strengthening through greater integration of services can improve RHD programs. Strengthening of systems through integration/linkages with other well-performing and resourced services in conjunction with policies to adopt the CCM framework for the secondary and tertiary prevention of RHD in settings with limited resources, has the potential to significantly reduce the burden of RHD globally. More research is required to provide evidence-based recommendations for policy and service design.|
|Subjects:||Acute rheumatic fever|
Rheumatic heart disease
|Appears in Collections:||NT Health digital library|
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