Barriers and Facilitators to Heart Failure Guideline-Directed Medical Therapy in an Integrated Health System and Federally Qualified Health Centers: A Thematic Qualitative Analysis.

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Title: Barriers and Facilitators to Heart Failure Guideline-Directed Medical Therapy in an Integrated Health System and Federally Qualified Health Centers: A Thematic Qualitative Analysis.
Authors: Philbin SE; Center for Education in Health Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Gleason LP; Center for Health Information Partnerships, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Persell SD; Division of General Internal Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Center for Primary Care Innovation, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Walter E; AllianceChicago, Chicago, IL, USA.; Icahn School of Medicine at Mount Sinai, New York, NY, USA., Petito LC; Division of Biostatistics, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Tibrewala A; Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Yancy CW; Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Beidas RS; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Wilcox JE; Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Mutharasan RK; Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Lloyd-Jones D; Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., O'Brien MJ; Division of General Internal Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Kho AN; Center for Health Information Partnerships, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Division of General Internal Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., McHugh MC; Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Center for Health Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Smith JD; Division of Health System Innovation and Research, Department of Population Health Sciences, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, USA., Ahmad FS; Center for Health Information Partnerships, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. faraz.ahmad@northwestern.edu.; Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. faraz.ahmad@northwestern.edu.; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. faraz.ahmad@northwestern.edu.
Source: Journal of general internal medicine [J Gen Intern Med] 2026 Jan; Vol. 41 (2), pp. 480-488. Date of Electronic Publication: 2025 May 05.
Publication Type: Journal Article; Research Support, N.I.H., Extramural
Journal Info: Publisher: Springer Country of Publication: United States NLM ID: 8605834 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-1497 (Electronic) Linking ISSN: 08848734 NLM ISO Abbreviation: J Gen Intern Med Subsets: MEDLINE
Database: MEDLINE Ultimate
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ISSN:1525-1497
DOI:10.1007/s11606-025-09515-5