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Nurse-led heart failure follow-up in primary care in Sweden
Linköping University, Department of Medicine and Health Sciences, Cardiology . Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0001-6353-8041
Nyby Primary Care Centre.
Sahlgrenska University.
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2009 (English)In: EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, ISSN 1474-5151, Vol. 8, no 2, 119-124 p.Article in journal (Refereed) Published
Abstract [en]

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 (pandlt;0.001), had more doctors interested in heart failure (pandlt;0.001), more often had special care programmes (Pandlt;0.001) and had more co-operation with the hospitals around patients with heart failure (pandlt;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.

Place, publisher, year, edition, pages
2009. Vol. 8, no 2, 119-124 p.
Keyword [en]
Heart failure, Nursing, Follow-up, Primary care, Survey
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-19675DOI: 10.1016/j.ejcnurse.2008.10.002OAI: diva2:227303
Available from: 2009-07-10 Created: 2009-07-10 Last updated: 2013-09-26

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Dahlström, Ulf
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Cardiology Faculty of Health Sciences
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