{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:09:14Z","timestamp":1785420554023,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Heart failure (HF) is a frequent cause of hospital admissions, carrying a high risk of hospital readmission and mortality. Alfred Health General Medicine Hospital in the Home (GM\u2010HITH) and Hospital Admission Risk Program (HARP) offer multidisciplinary HF care to multimorbid patients in bed\u2010substitution and non\u2010admitted community care models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To characterise delivery of care to patients with HF within Alfred Health GM\u2010HITH and HARP across four domains: symptom management, patient education and self\u2010management, optimisation of guideline\u2010directed medical therapy (GDMT) and values\u2010based discussions regarding disease trajectory and advance care planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010centre retrospective cohort study was conducted on every second HF patient discharged from HARP between 1 July to 31 August 2024. Data were collected from electronic medical records, and summary statistics were provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty\u2010eight patients were included. Mean age was 82\u2009years and mean Charleson Comorbidity Index score was 6. HF was a new diagnosis for 23%, and ejection fraction was preserved in 46%. Eighty\u2010eight per cent were hospitalised in the preceding 12 months, and 67% required in\u2010home assistance. HF education was provided to 98% of patients. There was no uniform approach to symptom monitoring. Patients were infrequently considered for GDMT optimisation. Six patients were deceased at the time of data collection, typically without documented discussion about HF prognosis or advance care planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Community\u2010based HF care consistently delivered HF education and occasionally considered GDMT optimisation. This older, multimorbid patient cohort would likely benefit from greater opportunity for shared decision making and early introduction of palliative care services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/imj.70566","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:20:47Z","timestamp":1785406847000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["At the heart of home\u2010based care: multidisciplinary heart failure management in a quaternary centre's community programmes"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4337-4475","authenticated-orcid":false,"given":"Elana","family":"Forbes","sequence":"first","affiliation":[{"name":"Department of General Medicine Alfred Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8805-370X","authenticated-orcid":false,"given":"Ingrid","family":"Hopper","sequence":"additional","affiliation":[{"name":"Department of General Medicine Alfred Health  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Corbett","sequence":"additional","affiliation":[{"name":"Department of General Medicine Alfred Health  Melbourne Victoria Australia"},{"name":"Department of Palliative Care Alfred Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felice","family":"Borghmans","sequence":"additional","affiliation":[{"name":"Department of General Medicine Alfred Health  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash 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Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3617-4676","authenticated-orcid":false,"given":"Archana","family":"Thayaparan","sequence":"additional","affiliation":[{"name":"Department of General Medicine Alfred Health  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2025.04.085"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0510"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2018.01.009"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab368"},{"key":"e_1_2_8_6_1","first-page":"e895","article-title":"2022 AHA\/ACC\/HFSA guideline for the management 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