Patient Perceptions on Facilitating Follow-Up after Heart Failure Hospitalization

Khadijah Breathett, Rachel D'Amico, T. M.Ayodele Adesanya, Stefanie Hatfield, Shannon Willis, Rodney X. Sturdivant, Randi E. Foraker, Sakima Smith, Philip Binkley, William T. Abraham, Pamela N. Peterson

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


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 <$35 000 for 49% of patients. An appointment near the patient's home was the most desired intervention (77%), followed by reminder message (73%), transportation to appointment (63%), and elimination of copayment (59%). Interventions most likely to be used if provided were similarly ranked: reminder message (48%), appointment near home (46%), elimination of copay (46%), and transportation to appointment (39%). There were significant differences (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.

Original languageEnglish (US)
Article numbere004099
JournalCirculation: Heart Failure
Issue number6
StatePublished - Jun 1 2017
Externally publishedYes


  • adult
  • heart failure
  • hospitalization
  • poverty
  • survey
  • transportation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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