Article Figures & Data
Figures
- Figure 1. Provider assessment of the effectiveness of remote consultations
- Figure 2. Provider confidence in using telephone assessment for patient care
- Figure 3. Responses to heart failure awareness and COVID-19 shielding advice among people with heart failure
Tables
HCPs (N=22) Patients and carers (N=21) Profession GP=15
GP trainee=1
Cardiologist=3
Nurse=3 (one each of PN, HFSN, and academic)Age 21–30 years=2
31–40 years=10
41–50 years=7
51–60 years=331–40 years=2
61–70 years=7
71–80 years=5
81–90 years=2
Not disclosed=5Gender Female=15
Male=7Female=7
Male=10
Not disclosed=4Geographical area East of England=8
North West=5
West Midlands=3
Yorkshire & Humber=1
SouthWest=1
Outside of England=3East of England=11
NorthWest=6
East Midlands=1
Not disclosed=2Living situation Live alone=3
Live with spouse only=12
Live with multiple family members=4
Live with friends=1
Not disclosed=1Number of long-term conditions One to two=5
Three to five=12
Six to eight=3
Not disclosed=1GP = general practitioner, HCP = healthcare provider, HFSN = heart failure specialist nurse, PN = practice nurse.
Questions for patients Patient median score (IQR) round 1 Patient median score (IQR) round 2 if applicable Please rate the importance of each item below in influencing your decision to shield GPs recommendation 8.0 (1.0–9.0) Consensus reached Specialist healthcare provider recommendation 6.0 (1.0–9.0) 7.0 (2.0–7.50) Decided to do without a recommendation from NHS or HCP 6.0 (1.5–9.0) 9.0 (7.0–9.0) Knowledge of age and illness 8.5 (7.0–9.0) Consensus reached Letter received from NHS 6.0 (2.0–9.0) 5.0 (2.5–9.0) Guidance received from NHS on shielding criteria 7.0 (3.0–9.0) Consensus reached Living with someone who needed to shield 5.0 (1.0–9.0) 8.0 (5.2–9.0) Information about COVID-19 and its risks has come from multiple sources. Please rate the trustworthiness of information from these sources from 1 not trustworthy at all to 9 extremely trustworthy General practice 8.0 (6.0–9.0) Consensus reached Specialist clinic at hospital 9.0 (7.0–9.0) Consensus reached HFSN 8.0 (1.0–9.0) Consensus reached NHS England 7.0 (6.0–8.0) Consensus reached Internet sources 5.0 (2.0–7.0) 5.0 (3.0–5.0) District council 4.0 (1.0–6.75) 5.0 (4.0–8.0) Healthcare journals 3.0 (1.0–6.0) Consensus reached Newspaper 4.0 (1.0–6.0) 4.0 (1.5–5.7) Television news 6.0 (2.0–7.0) 5.5 (3.2–7.0) Social media 1.0 (1.0–3.75) Consensus reached HCP = healthcare provider, HFSN = heart failure specialist nurse
Question Score round 1
Median (IQR)Score round 2 if applicable Supported self-management (eg, education and guidance from clinicians) has received increasing emphasis given reduced face-to-face consultations. Please rate the importance of each item below Supplying free devices such as weighing scales and blood pressure monitors 8.0 (5.0–9.0) Consensus reached Linking devices to a telemonitoring system 7.0 (3.5–9.0) Consensus reached Patient willingness and ability to record and share information 8.0 (7.0–9.0) Consensus reached Access to providers trained to support home monitoring and self-management 8.0 (5.0–9.0) Consensus reached Supporting patients to know and understand their diagnosis of heart failure, including type (reduced or preserved ejection fraction) 8.0 (7.0–9.0) Consensus reached Safe space in hospital or practice for assessment of patients when self-monitoring indicates problems that cannot be resolved satisfactorily by remote consultation 9.0 (7.0–9.0) Consensus reached In times of limited healthcare access, what is useful for consultation and communication? Please rate the following Telephone 9.0 (6.5–9.0) Consensus reached Video conferencing 7.0 (5.0–9.0) Consensus reached Email 6.0 (3.0–8.0) 5.0 (3.0–7.0) Text messaging 7.0 (3.0–8.0) Consensus reached Home visit from HFSN 8.0 (5.0–9.0) Consensus reached Authority to determine when clinic or face-to-face practice visit is needed 9.0 (6.5–9.0) Consensus reached Virtual multidisciplinary team to discuss case 7.0 (5.0–8.0) Consensus reached Having a lead HF consultant for triage 7.0 (5.2–9.0) Consensus reached In a post-pandemic world, healthcare is likely to remain changed and not return to previous practices. Please rate the importance of continuing each item below from 1 (not important at all) to 9 (extremely important) in post-pandemic healthcare Increased use of remote consultations by telephone or video link 8.0 (6.0–9.0) Consensus reached Virtual meetings of multidisciplinary teams 8.0 (5.0–8.7) Consensus reached Specialist led heart failure secure email system to support GPs and local primary care teams 8.0 (4.2–9.0) Consensus reached Strategies to improve social connections form part of annual reviews and clinic visits 7.0 (4.2–8.0) Consensus reached Ensuring patients are always asked about loneliness and social connections 7.0 (5.0–8.0) Consensus reached Access to heart failure specialist nurses regardless of type of heart failure (preserved and reduced ejection fraction) 8.0 (7.0–9.0) Consensus reached Supplying free devices such as weighing scales and blood pressure monitors 7.0 (5.2–9.0) Consensus reached Having a secure system for patients and providers to share information 8.0 (7.0–9.0) Consensus reached What would help you (or the patient you care for) sustain a healthy lifestyle? Please rate the importance of each item below from 1 (not important at all) to 9 (extremely important) Financial incentives 3.0 (1.0–5.5) Consensus reached Text messages 5.0 (2.0–7.0) 4.0 (2.0–6.0) Peer support via remote access 6.0 (4.0–8.0) 6.0 (4.0–7.0) Socially distanced activity with peers 6.5 (6.0–7.0) 6.0 (5.0–7.0) Fitness trackers 6.0 (4.0–7.0) 6.0 (5.0–7.0) Telephone calls 6.0 (3.0–7.2) 5.0 (2.0–8.0) Keeping a record that could be shared 6.0 (4.7–8.0) 6.0 (5.0–8.0) HFSN = heart failure specialist nurse
Supplementary Data
- Roth_10.3399BJGPO.2024.0138_supp.docx -
Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.
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Changes in heart failure healthcare in general practice during the COVID-19 pandemic: a survey
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