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Nurse-led heart failure follow-up in primary care in Sweden

Martensson, Jan; Dahlstrom, Ulf; Johansson, Gunilla; Lernfelt, Bodil; Persson, Hans and Willenheimer, Ronnie LU (2009) In European Journal of Cardiovascular Nursing 8(2). p.119-124
Abstract
Background: Little or no knowledge is available about which service is offered to patients with heart failure in primary care. Aims: To describe nurse-led follow-up of patients with heart failure in primary care in Sweden. Methods and results: A questionnaire was sent to all primary health care centres in Sweden and 6 10 of 939 centres returned the questionnaire. Special nurses had designated time for follow-up of heart failure patients at 18% (n = 111) of the centres, compared to 93% and 78% for diabetes and obstructive lung disease. Centres with nurse-led follow-up of heart failure patients more frequently provided heart failure information (p<0.001), had more doctors interested in heart failure (p<0.001), more often had special... (More)
Background: Little or no knowledge is available about which service is offered to patients with heart failure in primary care. Aims: To describe nurse-led follow-up of patients with heart failure in primary care in Sweden. Methods and results: A questionnaire was sent to all primary health care centres in Sweden and 6 10 of 939 centres returned the questionnaire. Special nurses had designated time for follow-up of heart failure patients at 18% (n = 111) of the centres, compared to 93% and 78% for diabetes and obstructive lung disease. Centres with nurse-led follow-up of heart failure patients more frequently provided heart failure information (p<0.001), had more doctors interested in heart failure (p<0.001), more often had special care programmes (P<0.001) and had more co-operation with the hospitals around patients with heart failure (p<0.01), compared to centres without such follow-up (n = 499). Conclusion: In primary care in Sweden, nurse-led follow-up is uncommon for patients with heart failure, despite being common for patients with diabetes and obstructive pulmonary disease. To improve this situation in primary care, an increased number of specially trained nurses is needed, together with further research to ensure a high quality follow-up in primary care. (C) 2008 European Society of Cardiology. Published by Elsevier B.V. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Primary care, Survey, Heart failure, Follow-up, Nursing
in
European Journal of Cardiovascular Nursing
volume
8
issue
2
pages
119 - 124
publisher
Elsevier
external identifiers
  • wos:000267152800007
  • scopus:67349118431
ISSN
1474-5151
DOI
10.1016/j.ejcnurse.2008.10.002
language
English
LU publication?
yes
id
5ef4e826-8320-4f22-97c9-26de018114ad (old id 1441442)
date added to LUP
2009-07-28 09:20:34
date last changed
2017-12-10 03:40:03
@article{5ef4e826-8320-4f22-97c9-26de018114ad,
  abstract     = {Background: Little or no knowledge is available about which service is offered to patients with heart failure in primary care. Aims: To describe nurse-led follow-up of patients with heart failure in primary care in Sweden. Methods and results: A questionnaire was sent to all primary health care centres in Sweden and 6 10 of 939 centres returned the questionnaire. Special nurses had designated time for follow-up of heart failure patients at 18% (n = 111) of the centres, compared to 93% and 78% for diabetes and obstructive lung disease. Centres with nurse-led follow-up of heart failure patients more frequently provided heart failure information (p&lt;0.001), had more doctors interested in heart failure (p&lt;0.001), more often had special care programmes (P&lt;0.001) and had more co-operation with the hospitals around patients with heart failure (p&lt;0.01), compared to centres without such follow-up (n = 499). Conclusion: In primary care in Sweden, nurse-led follow-up is uncommon for patients with heart failure, despite being common for patients with diabetes and obstructive pulmonary disease. To improve this situation in primary care, an increased number of specially trained nurses is needed, together with further research to ensure a high quality follow-up in primary care. (C) 2008 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.},
  author       = {Martensson, Jan and Dahlstrom, Ulf and Johansson, Gunilla and Lernfelt, Bodil and Persson, Hans and Willenheimer, Ronnie},
  issn         = {1474-5151},
  keyword      = {Primary care,Survey,Heart failure,Follow-up,Nursing},
  language     = {eng},
  number       = {2},
  pages        = {119--124},
  publisher    = {Elsevier},
  series       = {European Journal of Cardiovascular Nursing},
  title        = {Nurse-led heart failure follow-up in primary care in Sweden},
  url          = {http://dx.doi.org/10.1016/j.ejcnurse.2008.10.002},
  volume       = {8},
  year         = {2009},
}