{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:01:06Z","timestamp":1791547266366,"version":"4.3.4"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T00:00:00Z","timestamp":1359676800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Heart failure (HF) is a common condition with which high mortality, morbidity, and poor quality of life are associated. It has previously been shown that use of HF management programmes (HFMPs) in HF clinics can be beneficial. The purpose of this study was to evaluate if the use of HFMPs also has beneficial effects on HF patients in primary healthcare (PHC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This is a randomized, prospective, open-label study including 160 patients from five PHC centres with systolic HF and a mean age of 75 years (standard deviation 7.8). In the intervention group, an intensive follow-up was performed by HF nurses and physicians providing information and education about HF and the optimization of HF treatment according to recognized guidelines. There was a significant improvement of composite endpoints in the intervention group. Significantly more patients with reduced N-terminal pro brain natriuretic peptide (P = 0.012), improved cardiac function (P = 0.03), fewer healthcare contacts (P = 0.04), and fewer emergency room visits and admittances (P = 0.0002 and P = 0.03, respectively) could be seen in the intervention group when compared with the control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of a HFMP in a PHC setting was found to have beneficial effects in terms of reducing the number of healthcare contacts and hospital admissions, and improving cardiac function in patients with systolic HF, even if the result should be interpreted with caution. It can therefore be recommended that HFMPs should be used in PHC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjhf\/hfs159","type":"journal-article","created":{"date-parts":[[2012,10,29]],"date-time":"2012-10-29T23:34:46Z","timestamp":1351553686000},"page":"228-236","source":"Crossref","is-referenced-by-count":63,"title":["The Benefits of Using a Heart Failure Management Programme in Swedish Primary Healthcare"],"prefix":"10.1093","volume":"15","author":[{"given":"Bj\u00f6rn","family":"Agvall","sequence":"first","affiliation":[{"name":"Department of Medical and Health Sciences, Faculty of Health Sciences, County Council of \u00d6sterg\u00f6tland, Local Health Care Services in Central \u00d6sterg\u00f6tland, Primary Health Care Centres, Link\u00f6ping University , Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urban","family":"Alehagen","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine and Health Sciences, Faculty of Health Sciences, Link\u00f6ping University, Department of Cardiology UHL, County Council of \u00d6sterg\u00f6tland , Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Dahlstr\u00f6m","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine and Health Sciences, Faculty of Health Sciences, Link\u00f6ping University, Department of Cardiology UHL, County Council of \u00d6sterg\u00f6tland , Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2014,1,27]]},"reference":[{"issue":"803\u2013869","key":"2026011921141307100_ejhfhfs159-bib-0001","article-title":"ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology","volume":"14","author":"McMurray","year":"2012","journal-title":"Eur J Heart Fail"},{"key":"2026011921141307100_ejhfhfs159-bib-0002","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1093\/eurheartj\/ehn541","article-title":"Survival trends in men and women with heart failure of ischaemic and non-ischaemic origin: data for the period 1987\u20132003 from the Swedish Hospital Discharge Registry","volume":"30","author":"Shafazand","year":"2009","journal-title":"Eur Heart J"},{"key":"2026011921141307100_ejhfhfs159-bib-0003","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1136\/hrt.2003.025270","article-title":"Clinical epidemiology of heart failure","volume":"93","author":"Mosterd","year":"2007","journal-title":"Heart"},{"key":"2026011921141307100_ejhfhfs159-bib-0004","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1080\/028134301300034549","article-title":"Patients in primary health care diagnosed and treated as heart failure, with special reference to gender differences","volume":"19","author":"Agvall","year":"2001","journal-title":"Scand J Prim Health Care"},{"key":"2026011921141307100_ejhfhfs159-bib-0005","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1159\/000067723","article-title":"Heart failure in the elderly. 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