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Review: multidisciplinary coronary heart disease management programmes improve the process of care and reduce hospital admissions

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 QUESTION: In patients with coronary heart disease (CHD), do multidisciplinary disease management programmes (DMPs) improve processes of care and reduce morbidity and mortality?

Data sources

Studies were identified by searching Medline (1966 to 2000), EMBASE/Excerpta Medica (1980 to 1999), CINAHL (1982 to 1999), SIGLE (1980 to 1999), the Cochrane Controlled Trials Register, and the Cochrane Effective Practice and Organization of Care Study Register with the terms case management, health services research, home care services, clinical protocols, patient care planning, quality of health care, rehabilitation, nurse-led clinics, special clinics, and myocardial ischemia. Bibliographies of identified studies were scanned, and experts were contacted.

Study selection

Studies were selected if they were randomised controlled trials in any language investigating the effect of DMPs on death, myocardial infarction (MI), or hospital admission in patients with CHD. Exclusion criteria were primary prevention studies, single modality interventions, inpatient …

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