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February 2024 Br J Cardiol 2024;31:7–8 doi:10.5837/bjc.2024.005

Rewriting the heart failure pillars toward less burdensome heart failure care pathways

Rosalynn C Austin

Abstract

Dr Rosalynn C Austin Burden of treatment is a concept that describes the balance between an individual’s capacity (their abilities and available resources) and the workload (tasks assigned by healthcare professionals) related to treating their illness.5 When workload exceeds capacity, engagement with self-care, quality of life and clinical outcomes worsen.6–9 Research in people with HF has shown a relationship between symptom severity and the difficulty reported with workload associated with their illness (treatment burden).10,11 Medications were reported as part of ‘troublesome self-care’.12 But it appears that the burden lies not in

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