Competency in medical knowledge
HF
DISEASES
We observed that although the patients were on optimal medical treatment, the mortality risk and HF hospitalization remained high for both patients followed in the PC and specialized HF clinics. Therefore, it may be suggested that improvement in monitoring HFrEF patients on already optimal medical therapy is needed. Follow-up by highly educated doctors and nurses who only treat HF patients compared to follow-up by nurses and doctors in primary care who treat several diseases daily did not result in an improvement in HF outcomes.