Changes in heart failure healthcare in general practice during the COVID-19 pandemic.

Rothenberger, Raphael; Blakeman, Thomas; Chew-Graham, Carolyn A; Forsyth, Faye; Hossain, Muhammad; Sowden, Emma; Deaton, Christi

Abstract

The COVID-19 pandemic accelerated the adoption of remote healthcare for long-term condition management, including heart failure (HF). However, little is known about the experiences of this transition, knowledge developed during service transformation, and/or the preferences of clinicians and HF patients going forward. This study aimed to determine the perspectives and consensus of healthcare providers, patients, and carers in the UK regarding the transition to remote HF healthcare during the pandemic. A survey was conducted among individuals with HF and healthcare providers. An evaluation of stakeholders' views and a consensus-development exercise regarding the utilisation of telehealth and home monitoring devices were conducted using a modified Delphi process on an online platform. This study primarily included patients with HF with preserved ejection fraction (HFpEF). Findings revealed a significant reliance on telehealth, which reportedly enhanced accessibility for patients. Integration of home monitoring devices and systems was deemed crucial for care continuity. Although there was some consensus concerning the usefulness of remote consultations and communication, findings also highlighted their limitations and disparities in digital access and literacy. Remote healthcare presents opportunities and risks, emphasising the need for equitable access to telehealth technologies and thoughtful integration into healthcare systems. Balancing remote and in-person care, along with targeted training for healthcare providers, is essential for effective management and support of people with long-term conditions. [Abstract copyright: Copyright © 2025, The Authors.]

Citation

Rothenberger, R., Blakeman, T., Chew-Graham, C. A., Forsyth, F., Hossain, M., Sowden, E., & Deaton, C. (2025). Changes in heart failure healthcare in general practice during the COVID-19 pandemic. British Journal of General Practice Open (BJGP Open), 1-26. https://doi.org/10.3399/BJGPO.2024.0138

• Journal Article Type: Article
• Acceptance Date: Feb 27, 2025
• Online Publication Date: Mar 31, 2025
• Publication Date: Mar 31, 2025
• Deposit Date: Apr 24, 2025
• Journal: BJGP open
• Print ISSN: 2398-3795
• Electronic ISSN: 2398-3795
• Publisher: Royal College of General Practitioners
• Peer Reviewed: Peer Reviewed
• Article Number: BJGPO.2024.0138
• Pages: 1-26
• DOI: https://doi.org/10.3399/BJGPO.2024.0138
• Keywords: remote consultations, heart failure, general practice
• Public URL: https://keele-repository.worktribe.com/output/1198283