Abstract 19228: Patient Perceptions on Improving Follow-Up After Heart Failure Hospitalization
Background: Follow-up after heart failure hospitalization (HFH) is below target especially in lower socioeconomic groups. The patient-centered solutions for improving follow-up post HFH have not been well studied.
Methods: Face-to-face surveys were conducted with 83 adult patients admitted for HFH to Ohio State University Hospital East, centered in a low-income area of Columbus, Ohio, from 2/2015-2/2016. Patient perceptions of methods to improve follow-up post HFH and likelihood of using interventions were investigated using Likert scale: 1=very much to 5=not at all. Results were analyzed by Wilcoxon signed rank test with Bonferroni adjustment.
Results: The response rate was 70%. The annual household income was <$35,000 for 49% of patients. An appointment near the patient’s home was the most desired intervention (77% ranking the highest), followed by reminder message (73%), transportation to appointment (63%), and elimination of co-payment (59%) (Figure). Rankings were not significantly different with Bonferonni adjustment. The interventions most likely to be used if provided were similarly ranked but significant by Bonferonni (p<0.0001): reminder message (48% ranking the highest), appointment near home (46%), elimination of co-pay (46%), and transportation to home (39%).
Conclusions: Among lower socioeconomic patients with HFH, an appointment near the patient’s home was the most desired intervention. Further study of similar populations nationwide is warranted.
Author Disclosures: R. D’Amico: None. T. Adesanya: None. S. Hatfield: None. S. Willis: None. R. Sturdivant: None. R.E. Foraker: None. P. Binkley: None. W.T. Abraham: None. K. Breathett: None.
- © 2016 by American Heart Association, Inc.