Use of health services and perceived need for information and follow-up after percutaneous coronary intervention

Abstract

Objective: Few patients achieve full control of their coronary artery disease (CAD) risk factors. Follow-up, such as cardiac rehabilitation, is important to increase adherence to lifestyle changes and treatment, to improve the patient's risk profile, and to treat established complications of CAD clinical events. However, the type of follow-up patients receive varies. Therefore, the aim of this research note was to describe and compare patients' self-reported use of health services, the type of follow-up patients reported to prefer, and the type of information patients reported to be important, in two countries with different follow-up practices after PCI.

Results: We included 3417 patients in Norway and Denmark, countries with different follow-up strategies after PCI. The results showed large differences between the countries regarding health services used. In Denmark the most frequently used health services were consultations at outpatient clinics followed by visits to the general practitioner and visits to the fitness centre, whereas in Norway visits to the general practitioner were most common, followed by rehospitalisation and no follow-up used. However, patients found the same type of follow-up and information important in both countries. Patients' perceived need for follow-up and information decreased over time, suggesting a need for early follow-up when the patients are motivated.

Trial registration: NCT03810612 (18/01/2019).

Keywords: Follow up care; Health services; Percutaneous coronary intervention.

Fig. 1

Patient reported use of health services after percutaneous coronary intervention

Fig. 2

Type of follow-up patients reported that they prefer after percutaneous coronary intervention

Fig. 3

Themes patients reported to be important in follow-up after percutaneous coronary intervention

Fig. 4

Summary of results