Heart failure & cardiomyopathies
A Heart Failure Network Model to Improve Outcome and Trans-Sectoral Guideline-Directed Medical Treatment Utilization
Authors' conclusion
Implementation of a novel multi-sectoral HF network enabled the analysis of patient trajectories and identification of areas for improvement in HF care.
Study context
- Population
- Heart failure (HF)-coded patients in a regional HF network, Northern Germany (urban, island and rural areas)
- Comparison
- Post-implementation vs pre-implementation of a multi-sectoral HF network
- Outcome
- Healthcare utilisation
Methodological detailsmulti-sectoral, regional network (12 local networks integrated)
- Multi-sectoral
- Regional network (12 local networks integrated)
Main finding
As reported in the abstract
2018-2020
- Outpatient treatment cases
- n = 1237
- Referrals from specialists
- n = 290
- Referrals from general practitioners
- n = 369
- Inpatient admissions
- n = 2342
2021-2023
- Outpatient treatment cases
- n = 2563
- Referrals from specialists
- n = 434
- Referrals from general practitioners
- n = 435
- Inpatient admissions
- n = 2608
Outpatient treatment cases
2018-2020n = 1237
2021-2023n = 2563
Referrals from specialists
2018-2020n = 290
2021-2023n = 434
Referrals from general practitioners
2018-2020n = 369
2021-2023n = 435
Inpatient admissions
2018-2020n = 2342
2021-2023n = 2608
- Outpatient treatment cases
- change +101.3%; P < 0.001
- Referrals from specialists
- change +49.7%; P = 0.013
- Referrals from general practitioners
- change +17.9%; P = 0.26
- Inpatient admissions
- change +20.7%; P = 0.03
Further findings
HF rehospitalization rate · no significant difference despite positive trend
P = 0.295
In-hospital mortality · remained stable
P = 0.1
Original publication
A Heart Failure Network Model to Improve Outcome and Trans-Sectoral Guideline-Directed Medical Treatment Utilization. ESC Heart Fail. Published 10 October 2025. doi:10.
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