What are the consequences of poor co-ordination between services in people with heart failure?
People with heart failure experience the healthcare system as being poorly co-ordinated. One consequence of poor co-ordination was increased treatment burdens, as they needed to attend hospital/clinics on multiple occasions. They also experienced being given conflicting advice, for example by the cardiologist and nephrologist, leading to uncertainty and loss of confidence. People with heart failure also found the organisation of the healthcare system unclear and confusing. Individuals recalled the difficulties they had experienced trying to get referrals to rehabilitation services and nursing services that they needed.