General practice organisational models and heart failure medication adherence: multi-level evidence from a regional cohort in Emilia-Romagna, Italy.

ABSTRACT:

Background

Medication adherence is essential for improving heart failure outcomes yet remains suboptimal. Organisational models in general practice-such as group practices and Community Health Centres-have long been promoted as a means to strengthen primary care and are currently undergoing national reform. However, their impact on adherence remains unclear. This study investigated whether general practice organisational arrangements were associated with adherence to therapies recommended by clinical guidelines for heart failure.

Methods

We conducted a retrospective cohort study using linked administrative data from the Romagna Local Health Authority (Northern Italy), encompassing all adults discharged with an incident diagnosis of heart failure between January 2020 and Marc

SUBMITTER: Palombarini J 

PROVIDER: S-EPMC12933156 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature