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Heart failure management programmes in Europe.

T Jaarsma1, A Strömberg, S De Geest

  • 1Department of Cardiology, University Medical Centre Groningen, University of Groningen, The Netherlands. t.jaarsma@thorax.umcg.nl

European Journal of Cardiovascular Nursing
|June 13, 2006
PubMed
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Organized heart failure (HF) management programs are scarce in Europe. Increasing these specialist HF care programs is crucial for improving patient outcomes across the continent.

Area of Science:

  • Cardiology
  • Public Health
  • Healthcare Management

Background:

  • European Society of Cardiology (ESC) guidelines advocate for organized specialist heart failure (HF) care systems to enhance patient outcomes.
  • A significant gap exists in the implementation of these recommended HF management programs across Europe.

Purpose of the Study:

  • To determine the prevalence and scope of heart failure (HF) management programs throughout Europe.
  • To identify the specific components and characteristics of existing HF care initiatives.

Main Methods:

  • A two-phase descriptive study was employed, starting with a screening survey to identify HF management programs.
  • A subsequent survey detailed the content of these programs in countries with high adoption rates (≥30% of hospitals).

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Main Results:

  • Out of 43 European countries, 26 provided data, with 7 reporting over 30% of hospitals having HF programs. Overall, 63% of surveyed hospitals (426/673) had a program, often outpatient-based.
  • Common program elements included physical exams, telephone consultations, patient education, drug titration, and diagnostics, predominantly involving nurses and physicians. Multi-disciplinary teams were active in 56% of programs.
  • Significant inter-country variations were observed in home care collaboration, general practitioner (GP) involvement, palliative care roles, and funding models.

Conclusions:

  • The study reveals a limited number of organized heart failure (HF) care and follow-up programs across Europe.
  • Substantial efforts are needed to expand these essential HF management programs in all European countries to improve patient health outcomes.