liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Design and methodology of the COACH-2 (Comparative study on guideline adherence and patient compliance in heart failure patients) study: HF clinics versus primary care in stable patients on optimal therapy
University of Groningen, Netherlands .
University of Groningen, Netherlands .
Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
University of Groningen, Netherlands .
Show others and affiliations
2012 (English)In: NETHERLANDS HEART JOURNAL, ISSN 1568-5888, Vol. 20, no 7-8, 307-312 p.Article in journal (Refereed) Published
Abstract [en]

Since the number of heart failure (HF) patients is still growing and long-term treatment of HF patients is necessary, it is important to initiate effective ways for structural involvement of primary care services in HF management programs. However, evidence on whether and when patients can be referred back to be managed in primary care is lacking. To determine whether long-term patient management in primary care, after initial optimisation of pharmacological and non-pharmacological treatment in a specialised HF clinic, is equally effective as long-term management in a specialised HF clinic in terms of guideline adherence and patient compliance. The study is designed as a randomised, controlled, non-inferiority trial. Two-hundred patients will be randomly assigned to be managed and followed in primary care or in a HFclinic. Patients are eligible to participate if they are (1) clinically stable, (2) optimally up-titrated on medication (according to ESC guidelines) and, (3) have received optimal education and counselling on pre-specified issues regarding HF and its treatment. Furthermore, close cooperation between secondary and primary care in terms of back referral to or consultation of the HF clinic will be provided.The primary outcome will be prescriber adherence and patient compliance with medication after 12 months. Secondary outcomes measures will be readmission rate, mortality, quality of life and patient compliance with other lifestyle changes. The results of the study will add to the understanding of the role of primary care and HF clinics in the long-term follow-up of HF patients.

Place, publisher, year, edition, pages
Springer Verlag (Germany) , 2012. Vol. 20, no 7-8, 307-312 p.
Keyword [en]
Heart failure; Primary care; Follow-up; Guideline adherence; Patient compliance; Quality of life
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-80693DOI: 10.1007/s12471-012-0284-8ISI: 000306736500004OAI: oai:DiVA.org:liu-80693DiVA: diva2:547835
Available from: 2012-08-29 Created: 2012-08-29 Last updated: 2012-09-06

Open Access in DiVA

fulltext(357 kB)1101 downloads
File information
File name FULLTEXT01.pdfFile size 357 kBChecksum SHA-512
bbfd6164ca4b4a8e6686d838313cba03fb63e8b555891a924a664a9d1c597de8746098c78d8985ec0b97fdf82b732132453b1ad363ba86cbe5d56a65a4cbb44a
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records BETA

Jaarsma, Tiny

Search in DiVA

By author/editor
Jaarsma, Tiny
By organisation
Health, Activity, CareFaculty of Health Sciences
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 1101 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 292 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf