title: A review of records from follow-up visits for immigrant and Swedish patients at a heart failure clinic.
abstract: 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.
  
  
  OBJECTIVE
  To describe documented care of immigrant patients and matched Swedish patients at a heart failure clinic.
  
  
  METHODS
  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.
authors.affiliation: Institute of Health and Care Sciences. The Sahlgrenska Academy at Göteborg University, Box 457, SE 405 30, Göteborg, Sweden. azar.hedemalm@comhem.se
authors.forename: Azar
authors.initials: A
authors.lastname: Hedemalm
authors.forename: Maria
authors.initials: M
authors.lastname: Schaufelberger
authors.forename: Inger
authors.initials: I
authors.lastname: Ekman
mesh_terms: D000359:Aftercare / Q000592:standards*; D000553:Ambulatory Care / Q000592:standards*; D018864:Cultural Diversity; D004282:Documentation; D004641:Emigration and Immigration; D005260:Female; D019983:Guideline Adherence; D006333:Heart Failure / Q000208:ethnology / Q000451:nursing; D006785:Hospitals, University; D006801:Humans; D008297:Male; D009730:Nursing Assessment / Q000592:standards*; D009731:Nursing Audit; D009732:Nursing Care / Q000592:standards*; D015403:Nursing Evaluation Research; D009737:Nursing Records; D010353:Patient Education as Topic / Q000592:standards; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000592:standards; D012111:Residence Characteristics; D012189:Retrospective Studies; D013548:Sweden