Patient Perceptions on Facilitating Follow-Up After Heart Failure Hospitalization
| Autor: | Khadijah Breathett, Shannon Willis, Philip Binkley, Stefanie Hatfield, Randi E. Foraker, Pamela N. Peterson, Sakima Smith, William T. Abraham, Rachel D’Amico, Rodney X. Sturdivant, T.M. Ayodele Adesanya |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine Reminder Systems education Psychological intervention 030204 cardiovascular system & hematology Article Likert scale 03 medical and health sciences symbols.namesake Appointments and Schedules 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Socioeconomic status Aged Retrospective Studies Response rate (survey) Heart Failure business.industry medicine.disease Hospitalization Bonferroni correction Family medicine Cohort symbols Household income Patient Compliance Female Medical emergency Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Circulation. Heart failure. 10(6) |
| ISSN: | 1941-3297 |
| Popis: | Background— Timely follow-up after hospitalization for heart failure (HF) is recommended. However, follow-up is suboptimal, especially in lower socioeconomic groups. Patient-centered solutions for facilitating follow-up post-HF hospitalization have not been extensively evaluated. Methods and Results— Face-to-face surveys were conducted between 2015 and 2016 among 83 racially diverse adult patients (61% African American, 34% Caucasian, and 5% Other) hospitalized for HF at a university hospital centered in a low-income area of Columbus, Ohio. Patient perceptions of methods to facilitate follow-up post-HF hospitalization and likelihood of using interventions were investigated using a Likert scale: 1=very much to 5=not at all. Results were analyzed by Wilcoxon signed-rank test with Bonferroni correction. The response rate was 82%. The annual household income was P =0.001) in high-ranking interventions related to location (appointment near home, transportation, home appointment) and reminder for visit compared with low-ranking interventions related to time (weekend appointment, appointment after 5 pm ) and telemedicine. Conclusions— Among this cohort of racially diverse low-income patients hospitalized with HF, an appointment near the patient’s home and a reminder message were the most desired interventions to facilitate follow-up. Further study of similar populations nationwide is warranted. |
| Databáze: | OpenAIRE |
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