World Heart Federation CVD & Comorbidities and Integrated Care Roadmap Survey

Cardiovascular disease & comorbidities and integrated care roadmap

We invite you to provide feedback on the current realities, needs, and barriers regarding people with CVD and comorbidities (diabetes, chronic kidney disease, etc.) and integrated care (coordinated approach that brings together healthcare professionals and services to provide seamless, patient-centred care) in your country/region. Your input will directly contribute to developing a comprehensive roadmap to address these challenges.

This survey will take approximately 10-15 minutes to complete.

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* 1. Which WHO region do you live/work in?

Africa

Americas

Eastern Mediterranean

Europe

South Asia

East Asia

Western Pacific

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* 2. In which country do you live/work?

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* 3. You live/work in a:

Low-income country

Lower-middle-income country

Upper-middle-income country

High-income country

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* 4. Setting where you practice/work at least 50% of your time

Government organisation

Public hospital

Private hospital

Outpatient clinic

Research organisation (e.g. university)

NGO

Patient organisation

Advocacy

Other (please specify)

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* 5. Occupation

Cardiologist

Nurse

General Practicioner

Endocrinologist

Epidemiologist

Nephrologist

Public Health Specialist

Policymaker

Researcher

Patient advocate

Other (please specify)

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* 6. What are the most common cardiovascular comorbidities you encounter in your practice?

Diabetes

Chronic Kidney Disease

Obesity

Depression or other mental health condition

Other (please specify)

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* 7. How would you rate the availability of treatment options for CVD and comorbidities in your country?

	Excellent	Good	Average	Poor
Pharmacotherapy	Pharmacotherapy Excellent	Pharmacotherapy Good	Pharmacotherapy Average	Pharmacotherapy Poor
Non-pharmacotherapy	Non-pharmacotherapy Excellent	Non-pharmacotherapy Good	Non-pharmacotherapy Average	Non-pharmacotherapy Poor
Monitoring	Monitoring Excellent	Monitoring Good	Monitoring Average	Monitoring Poor
Screening	Screening Excellent	Screening Good	Screening Average	Screening Poor

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* 8. Do you have access to multidisciplinary care teams for patients with CVD & comorbidities your country?
(A multidisciplinary care team for patients with CVD & comorbidities typically includes healthcare professionals from various specialties, such as cardiologists, general practitioners, endocrinologists, nurses, and other allied health professionals, working collaboratively to provide comprehensive and coordinated care.)

Yes

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* 9. Please describe any initiatives/frameworks/guidelines for integrated care for CV comorbidities in your region (include links, if any)

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* 10. Please tell us if you currently face any of these barriers to managing CVD & comorbidities in your setting (1-Always. 2-Often. 3-Sometimes. 4-Occasionally. 5-Never)

	1	2	3	4	5
Lack of awareness among patients about CVD risks and comorbidities	Lack of awareness among patients about CVD risks and comorbidities 1	Lack of awareness among patients about CVD risks and comorbidities 2	Lack of awareness among patients about CVD risks and comorbidities 3	Lack of awareness among patients about CVD risks and comorbidities 4	Lack of awareness among patients about CVD risks and comorbidities 5
Lack of investment in preventive care programmes	Lack of investment in preventive care programmes 1	Lack of investment in preventive care programmes 2	Lack of investment in preventive care programmes 3	Lack of investment in preventive care programmes 4	Lack of investment in preventive care programmes 5
Difficulties to implement guidelines in practice	Difficulties to implement guidelines in practice 1	Difficulties to implement guidelines in practice 2	Difficulties to implement guidelines in practice 3	Difficulties to implement guidelines in practice 4	Difficulties to implement guidelines in practice 5
Lack of specialised training for integrated care	Lack of specialised training for integrated care 1	Lack of specialised training for integrated care 2	Lack of specialised training for integrated care 3	Lack of specialised training for integrated care 4	Lack of specialised training for integrated care 5
Limited availability of CVD risk evaluation tools for patients with comorbidities	Limited availability of CVD risk evaluation tools for patients with comorbidities 1	Limited availability of CVD risk evaluation tools for patients with comorbidities 2	Limited availability of CVD risk evaluation tools for patients with comorbidities 3	Limited availability of CVD risk evaluation tools for patients with comorbidities 4	Limited availability of CVD risk evaluation tools for patients with comorbidities 5
Cultural barriers to team-based care	Cultural barriers to team-based care 1	Cultural barriers to team-based care 2	Cultural barriers to team-based care 3	Cultural barriers to team-based care 4	Cultural barriers to team-based care 5
Limited availability of essential treatments	Limited availability of essential treatments 1	Limited availability of essential treatments 2	Limited availability of essential treatments 3	Limited availability of essential treatments 4	Limited availability of essential treatments 5
High costs of care	High costs of care 1	High costs of care 2	High costs of care 3	High costs of care 4	High costs of care 5
Challenges in prescribing appropriate medications for patients with CVD & comorbidities (e.g. obesity, diabetes) without specialist input	Challenges in prescribing appropriate medications for patients with CVD & comorbidities (e.g. obesity, diabetes) without specialist input 1	Challenges in prescribing appropriate medications for patients with CVD & comorbidities (e.g. obesity, diabetes) without specialist input 2	Challenges in prescribing appropriate medications for patients with CVD & comorbidities (e.g. obesity, diabetes) without specialist input 3	Challenges in prescribing appropriate medications for patients with CVD & comorbidities (e.g. obesity, diabetes) without specialist input 4	Challenges in prescribing appropriate medications for patients with CVD & comorbidities (e.g. obesity, diabetes) without specialist input 5
Fragmented care systems (inadequate integration of primary and specialist care, for example)	Fragmented care systems (inadequate integration of primary and specialist care, for example) 1	Fragmented care systems (inadequate integration of primary and specialist care, for example) 2	Fragmented care systems (inadequate integration of primary and specialist care, for example) 3	Fragmented care systems (inadequate integration of primary and specialist care, for example) 4	Fragmented care systems (inadequate integration of primary and specialist care, for example) 5
Insufficient collaboration between healthcare providers	Insufficient collaboration between healthcare providers 1	Insufficient collaboration between healthcare providers 2	Insufficient collaboration between healthcare providers 3	Insufficient collaboration between healthcare providers 4	Insufficient collaboration between healthcare providers 5
Gaps in health information systems and data sharing	Gaps in health information systems and data sharing 1	Gaps in health information systems and data sharing 2	Gaps in health information systems and data sharing 3	Gaps in health information systems and data sharing 4	Gaps in health information systems and data sharing 5
Limited access to allied health professionals (e.g. nutritionists, psychologists, exercise physiologists, community healthcare workers)	Limited access to allied health professionals (e.g. nutritionists, psychologists, exercise physiologists, community healthcare workers) 1	Limited access to allied health professionals (e.g. nutritionists, psychologists, exercise physiologists, community healthcare workers) 2	Limited access to allied health professionals (e.g. nutritionists, psychologists, exercise physiologists, community healthcare workers) 3	Limited access to allied health professionals (e.g. nutritionists, psychologists, exercise physiologists, community healthcare workers) 4	Limited access to allied health professionals (e.g. nutritionists, psychologists, exercise physiologists, community healthcare workers) 5
Lack of political or institutional support for integrated care	Lack of political or institutional support for integrated care 1	Lack of political or institutional support for integrated care 2	Lack of political or institutional support for integrated care 3	Lack of political or institutional support for integrated care 4	Lack of political or institutional support for integrated care 5

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* 11. What resistance or barriers do you foresee in implementing integrated care for patients with CVD & comorbidities in your country/region? (Please select all that apply)

Insufficient funding for integrated care initiatives

Resistance from healthcare providers to adopt new care models

Lack of political or institutional prioritisation of integrated care

Policy and regulatory challenges

Limited infrastructure for multidisciplinary care teams

Cultural or systemic reluctance to change in care practices

Competing priorities in healthcare agendas

Lack of clear incentives or reimbursement models

Fragmentation of care systems across different sectors

Other (please specify)

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* 12. Please rate these solutions for facilitating integrated care for CVD and comorbidities in your setting (1-Essential. 2-Important. 3-Nice to have. 4-Somewhat important. 5-Not necessary)

	1	2	3	4	5
Increasing patient awareness and education on CVD risks	Increasing patient awareness and education on CVD risks 1	Increasing patient awareness and education on CVD risks 2	Increasing patient awareness and education on CVD risks 3	Increasing patient awareness and education on CVD risks 4	Increasing patient awareness and education on CVD risks 5
Simplifying clinical guidelines for comorbidity management	Simplifying clinical guidelines for comorbidity management 1	Simplifying clinical guidelines for comorbidity management 2	Simplifying clinical guidelines for comorbidity management 3	Simplifying clinical guidelines for comorbidity management 4	Simplifying clinical guidelines for comorbidity management 5
Promoting team-based care models	Promoting team-based care models 1	Promoting team-based care models 2	Promoting team-based care models 3	Promoting team-based care models 4	Promoting team-based care models 5
Strengthening referral systems for multidisciplinary care	Strengthening referral systems for multidisciplinary care 1	Strengthening referral systems for multidisciplinary care 2	Strengthening referral systems for multidisciplinary care 3	Strengthening referral systems for multidisciplinary care 4	Strengthening referral systems for multidisciplinary care 5
Expanding access to affordable medications	Expanding access to affordable medications 1	Expanding access to affordable medications 2	Expanding access to affordable medications 3	Expanding access to affordable medications 4	Expanding access to affordable medications 5
Leveraging digital health tools for patient monitoring and communication	Leveraging digital health tools for patient monitoring and communication 1	Leveraging digital health tools for patient monitoring and communication 2	Leveraging digital health tools for patient monitoring and communication 3	Leveraging digital health tools for patient monitoring and communication 4	Leveraging digital health tools for patient monitoring and communication 5
Including integrated care into national health policies	Including integrated care into national health policies 1	Including integrated care into national health policies 2	Including integrated care into national health policies 3	Including integrated care into national health policies 4	Including integrated care into national health policies 5
The existence of an easy-to-implement framework	The existence of an easy-to-implement framework 1	The existence of an easy-to-implement framework 2	The existence of an easy-to-implement framework 3	The existence of an easy-to-implement framework 4	The existence of an easy-to-implement framework 5
Expanding training & education programmes for healthcare professionals on integrated care	Expanding training & education programmes for healthcare professionals on integrated care 1	Expanding training & education programmes for healthcare professionals on integrated care 2	Expanding training & education programmes for healthcare professionals on integrated care 3	Expanding training & education programmes for healthcare professionals on integrated care 4	Expanding training & education programmes for healthcare professionals on integrated care 5

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* 13. What additional solutions would you recommend for implementing integrated care in your setting? Are there any new focus areas or challenges for patients with CVD & comorbidities, and integrated care that we should be aware of?

World Heart Federation CVD & Comorbidities and Integrated Care Roadmap Survey

Cardiovascular disease & comorbidities and integrated care roadmap

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* 1. Which WHO region do you live/work in?

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* 2. In which country do you live/work?

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* 3. You live/work in a:

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* 4. Setting where you practice/work at least 50% of your time

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* 5. Occupation

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* 6. What are the most common cardiovascular comorbidities you encounter in your practice?

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* 7. How would you rate the availability of treatment options for CVD and comorbidities in your country?

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* 9. Please describe any initiatives/frameworks/guidelines for integrated care for CV comorbidities in your region (include links, if any)

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* 10. Please tell us if you currently face any of these barriers to managing CVD & comorbidities in your setting (1-Always. 2-Often. 3-Sometimes. 4-Occasionally. 5-Never)

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* 11. What resistance or barriers do you foresee in implementing integrated care for patients with CVD & comorbidities in your country/region? (Please select all that apply)

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* 12. Please rate these solutions for facilitating integrated care for CVD and comorbidities in your setting (1-Essential. 2-Important. 3-Nice to have. 4-Somewhat important. 5-Not necessary)

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* 13. What additional solutions would you recommend for implementing integrated care in your setting? Are there any new focus areas or challenges for patients with CVD & comorbidities, and integrated care that we should be aware of?

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* 14. Do you have any other comments or suggestions?