{ "abstract": "Background: Heart failure (HF) remains a major cause of morbidity, mortality, and healthcare resource utilisation, requiring integrated multidisciplinary care across hospital and community settings. This study aimed to describe the organisation of HF care and post-discharge management in Italy through two complementary national surveys promoted by the Italian Association of Hospital Cardiologists (ANMCO). Methods: Two complementary cross-sectional organisational surveys were conducted to describe the organisation of HF care in Italy. The Regioni 3.0 survey, performed between November 2023 and September 2024, collected 196 responses from directors of cardiology departments and HF Centers regarding organisational resources, post-discharge follow-up pathways, and integration with community healthcare services. A second survey, administered during the ANMCO Heart Failure Centers Convention in October 2024, collected 135 responses on discharge planning and outpatient follow-up practices. Results: HF outpatient clinics were available in 85.7% of Centers, whereas only 42.6% reported non-physician staff specifically assigned to HF care. Structured post-discharge follow-up pathways were reported by 91.3% of Centers, but functional links with primary care or community healthcare services were present in only 47.7%. Medication reconciliation and patient education were routinely performed in most Centers, whereas telemonitoring systems were available in approximately one-third of respondents. Conclusions: HF care in Italy is supported by a widespread network of outpatient clinics and structured post-discharge follow-up pathways. However, important organizational gaps remain in multidisciplinary staffing, hospital–community integration, and telemonitoring, highlighting the need to strengthen multidisciplinary resources, improve hospital–community integration, and expand telemonitoring to support more coordinated HF care nationwide.", "abstract_shown": true, "affiliations": [ "U.O.C. Cardiologia-UTIC, Grande Ospedale Metropolitano GOM, 890129 Reggio Calabria, Italy", "S.O.C. Cardiologia Ospedaliera, Presidio Ospedaliero Arcispedale Santa Maria Nuova, Azienda USL di Reggio Emilia—IRCCS, 42123 Reggio Emilia, Italy", "U.O. Cardiologia, Ospedale Infermi Rimini, AUSL della Romagna, 47923 Rimini, Italy", "U.O.C. Cardiologia 1, Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy", "U.O. Cardiologia, P.O. Sant’Antonio Abate, ASP Trapani, 91016 Erice, Italy", "U.O.C. Cardiologia, Ospedale San Paolo, 70132 Bari, Italy", "S.O.C. Cardiochirurgia, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy", "Cardiologia, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, ISMETT IRCCS, 90127 Palermo, Italy", "S.O.D. Cardiologia-UTIC, A.O.U. delle Marche, 60126 Ancona, Italy", "U.O.C. Cardiologia, A.O. San Giovanni Addolorata, 00184 Roma, Italy", "U.O.C. Cardiologia, A.O. San Camillo Forlanini, 00152 Roma, Italy", "S.C.D.O. Cardiologia, A.O.U. San Luigi Gonzaga, 10043 Orbassano, Italy", "Dipartimento Cure Primarie ASST Fatebenefratelli Sacco, 20157 Milano, Italy", "U.O.C. Cardiochirurgia, A.O. S. Anna e S. Sebastiano, 81100 Caserta, Italy", "U.O.C. Cardiologia e UTIC, Ospedale “Guglielmo da Saliceto”, 29121 Piacenza, Italy", "U.O.C. Cardiologia, Ospedali dell’Ovest Vicentino, Azienda ULSS 8 Berica, 36100 Vicenza, Italy", "U.O.C. Cardiologia Clinica e Riabilitativa, Presidio Ospedaliero San Filippo Neri—ASL Roma 1, 00135 Roma, Italy", "IRCCS Ospedale Policlinico San Martino di Genova, Department of Cardio-Thoraco-Vascular Diseases—Cardiology Area, Largo Rosanna Benzi 10, 16132 Genova, Italy", "Department of Transplant Surgery and Surgical Treatment of Heart Failure, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, 24127 Bergamo, Italy", "Cardiologia, Azienda Ospedaliera Ordine Mauriziano, 10128 Torino, Italy", "Cardiologia Firenze 1 (Ospedali S. Maria Nuova e Nuovo San Giovanni di Dio), Azienda USL Toscana Centro, 50100 Florence, Italy", "Divisione di Cardiologia, Ospedale “F. Perinei” ASL BA, 70022 Altamura, Italy", "Divisione di Cardiologia, S. Giovanni Di Dio E Ruggi D’Aragona Hospital of Salerno, Largo Città di Ippocrate, 84131 Salerno, Italy", "U.O.C. Cardiologia, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione “Garibaldi”, 95122 Catania, Italy", "Cardiologia 1-Emodinamica, Dipartimento Cardiotoracovascolare “A. De Gasperis”, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milano, Italy", "Dipartimento di Cardiologia, Ospedale Santo Spirito, Casale Monferrato, 15033 Alessandria, Italy", "Ente Ecclesiastico Ospedale Generale Regionale “ F. Miulli”, 70021 Acquaviva delle Fonti, Italy" ], "article_type": null, "arxiv": null, "author_total": 29, "authors": [ { "affs": [ 0 ], "name": "Fabiana Lucà", "orcid": "0000-0002-5369-5382" }, { "affs": [ 1 ], "name": "Alessandro Navazio", "orcid": "0000-0001-8417-7783" }, { "affs": [ 2 ], "name": "Samuela Carigi" }, { "affs": [ 3 ], "name": "Mauro Gori", "orcid": "0000-0001-5509-8867" }, { "affs": [ 4 ], "name": "Giovanna Geraci", "orcid": "0000-0003-0092-8717" }, { "affs": [ 5 ], "name": "Luisa De Gennaro" }, { "affs": [ 6 ], "name": "Concetta Di Nora" }, { "affs": [ 7 ], "name": "Paolo Manca" }, { "affs": [ 8 ], "name": "Maria Vittoria Matassini", "orcid": "0000-0002-2443-5370" }, { "affs": [ 9 ], "name": "Vittoria Rizzello" }, { "affs": [ 10 ], "name": "Maria Denitza Tinti" }, { "affs": [ 11 ], "name": "Matteo Bianco", "orcid": "0000-0002-6751-6437" }, { "affs": [ 12 ], "name": "Renata De Maria", "orcid": "0000-0002-8474-7923" }, { "affs": [ 13 ], "name": "Vittorio Palmieri", "orcid": "0000-0003-3732-524X" }, { "affs": [ 14 ], "name": "Daniela Aschieri", "orcid": "0000-0002-1577-5402" }, { "affs": [ 8 ], "name": "Ilaria Battistoni" }, { "affs": [ 15 ], "name": "Claudio Bilato", "orcid": "0000-0003-3474-0579" }, { "affs": [ 16 ], "name": "Stefania Angela Di Fusco" }, { "affs": [ 17 ], "name": "Vered Gil Ad" }, { "affs": [ 18 ], "name": "Attilio Iacovoni" }, { "affs": [ 19 ], "name": "Barbara Maria Teresa Mabritto", "orcid": "0000-0001-6678-1274" }, { "affs": [ 20 ], "name": "Massimo Milli" }, { "affs": [ 21 ], "name": "Pietro Scicchitano" }, { "affs": [ 22 ], "name": "Francesco Vigorito" }, { "affs": [ 23 ], "name": "Michele Massimo Gulizia" }, { "affs": [ 16 ], "name": "Furio Colivicchi" }, { "affs": [ 24 ], "name": "Fabrizio Oliva", "orcid": "0009-0004-9459-2488" }, { "affs": [ 25 ], "name": "Federico Nardi", "orcid": "0000-0002-7743-2587" }, { "affs": [ 26 ], "name": "Massimo Grimaldi", "orcid": "0000-0002-9347-8884" } ], "bibtex": "https://research.draconitic.com/paper/czndjp3q1efx4.bib", "cited_by": 0, "doi": "10.3390/jcm15218551", "fulltext_url": null, "id": "czndjp3q1efx4", "issns": [ "2077-0383" ], "landing_url": "https://www.mdpi.com/2077-0383/15/21/8551", "language": null, "licence": "CC-BY-4.0", "licence_label": "CC BY 4.0", "licence_source": "article", "licence_url": "https://creativecommons.org/licenses/by/4.0/", "metadata_licence": null, "native_subjects": [], "openalex": null, "pdf_url": null, "pmcid": null, "pmid": null, "published": "2026-11-03", "publisher": "MDPI AG", "ris": "https://research.draconitic.com/paper/czndjp3q1efx4.ris", "sources": [ { "first_seen": "2026-11-04T12:21:42Z", "native_id": "10.3390/jcm15218551", "source": "crossref", "url": "https://www.mdpi.com/2077-0383/15/21/8551" } ], "subjects": [ { "field": "medicine", "origin": "journal-openalex:F27", "subfield": "general" } ], "title": "Chronic Heart Failure Care Network in Italy: Results from the Regioni 3.0 and ANMCO Heart Failure Working Group Surveys", "title_text": "Chronic Heart Failure Care Network in Italy: Results from the Regioni 3.0 and ANMCO Heart Failure Working Group Surveys", "type": "peer-reviewed", "updated_at": "2026-11-06T00:21:25Z", "url": "https://research.draconitic.com/paper/czndjp3q1efx4", "venue": "Journal of Clinical Medicine", "versions": [] }