There is a ‘treatment gap’ in the management of common chronic conditions such as cardiovascular disease and diabetes – a gap between what we know patients should be receiving, based on the national guidelines, and what they actually are receiving in the ‘real world’.
People with proven coronary disease have up to 7 times the chance of future coronary disease compared with people with similar risk factors but no overt coronary disease. There is unequivocal evidence that aggressive risk factor management improves patient survival, reduces recurrent events including premature cardiac death and improves quality of life for people with pre-existing cardiovascular disease. Despite this, surveys from Australia and overseas repeatedly show that only a minority of people with cardiovascular disease are achieving the target levels for their disease risk factors to be able to prevent their disease from getting worse.
There are three possible reasons for this treatment gap:
The COACH Program bridges the treatment gaps in the management of chronic diseases.