Academic Editors: Muideen Olaiya and Dominique Cadilhac
Background: An increasing number of coronary heart disease (CHD)
patients with an aging population are demanding available and effective
out-of-hospital continuous healthcare services. However, great efforts still need
to be made to promote out-of-hospital healthcare services for better CHD
secondary prevention. This study aims to evaluate the effectiveness of a
hospital-community-family (HCF)-based integrated healthcare model on treatment
outcomes, treatment compliance, and quality of life (QoL) in CHD patients.
Methods: A quasi-randomized controlled trial was conducted at the
Department of Cardiology, a tertiary A-level hospital, Wuhan, China from January
2018 to January 2020 in accordance with the Consolidated Standards of Reporting
Trials guidelines. CHD patients were enrolled from the hospital and
quasi-randomly assigned to either HCF-based integrated healthcare model services
or conventional healthcare services. The treatment outcomes and QoL were observed
at the 12-month follow-up. Treatment compliance was observed at the 1-month and
12-month follow-ups. Results: A total of 364 CHD patients were
quasi-randomly assigned to either integrated healthcare model services (n = 190)
or conventional healthcare services (n = 174). Treatment outcomes including
relapse and readmission rate (22.6% vs 41.9%; relative risk [RR] = 0.54; 95%
confidence interval [CI], 0.40–0.74; p = 0.0031), the occurrence of
major cardiovascular events (19.5% vs 45.4%; RR = 0.43; 95% CI, 0.30–0.59;
p = 0.0023), complication rate (19.5% vs 35.0%; RR = 0.56; 95% CI,
0.39–0.79; p = 0.0042), and the control rate of CHD risk factors
(p