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From the Heart
September 2017

Reflections on Admissions for Heart—and Social System—Failure

Author Affiliations
  • 1Cardiology Division, Hennepin County Medical Center, Minneapolis, Minnesota
  • 2Minneapolis Heart Institute, Minneapolis, Minnesota
JAMA Cardiol. 2017;2(9):948-949. doi:10.1001/jamacardio.2017.1492

At a 2016 meeting on a research study designed to explore the effect of coproduction1—the cocreation of health care by professionals and patients—on outcomes in long-term disease, a mentor asked about my progress on the project in the preceding few weeks. I explained that being on our busy cardiology consult service had left me little time to accomplish much. Looking at me from under bushy brows, he asked if I had seen any patients with heart failure that I might have viewed through the lens of coproduction. Abashed at my failure to do that, I reflected on my time on the service and discovered several patients with heart failure sitting at the front of my mind, waiting to be seen through that lens.