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A review of records from follow-up visits for immigrant and Swedish patients at a heart failure clinic

Review article
Authors Azar Hedemalm
Maria Schaufelberger
Inger Ekman
Published in Eur J Cardiovasc Nurs
Volume 6
Issue 3
Pages 216-22
ISSN 1474-5151 (Print)
Publication year 2007
Published at Institute of Medicine, Department of Emergeny and Cardiovascular Medicine
Institute of Health and Care Sciences
Pages 216-22
Language en
Subject categories Cardiac and Cardiovascular Systems


Today, nearly 20% of the Swedish population originates from multiethnic backgrounds. Patients' symptom expressions, adherence to health regimens, and communication with health-care professionals have been shown to be related to their ethnic and cultural backgrounds. PURPOSE: To describe documented care of immigrant patients and matched Swedish patients at a heart failure clinic. METHOD: Journal audit of records of 25 immigrant and 25 matched Swedish patients with HF included from the patient registration database at the hospital where they were cared for. RESULTS: In the immigrant group, significantly fewer clinical parameters were assessed during their visits and fewer patients were scheduled for follow-up visits. Analyses revealed that some of the items recommended in the European Society of Cardiology guidelines for non-pharmacological HF care were overlooked for both of the groups. CONCLUSIONS: We found that medication adjustments and information about the condition and treatment were fairly similarly documented between Swedish and immigrant patients while significantly fewer clinical measurements and follow-up visits were documented for the immigrant group.

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