A CVD Risk Management Care Continuum: evaluation of a multidisciplinary learning healthcare system using routine care data.

T Katrien J Groenhof,A Titia Lely,Saskia Haitjema,Hendrik M Nathoe,Marlous F Kortekaas,Folkert W Asselbergs,Michiel L Bots,Monika Hollander

BJGP open（2020）

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摘要

Evaluation of a multidisciplinary LHS is possible via linkage of health data sources. Efforts have to be made to improve registration as well as communication on findings and actionable suggestions for follow-up to bridge the gap in the CVRM continuum.

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关键词

Clinical (general),Continuity of care,cardiovascular risk management,learning healthcare system

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