Cardiac Rehabilitation Following Acute Coronary Syndrome in Women

Bennett, Amanda; Lavie, Carl J.; Grace, Sherry L.

doi:10.1007/s11936-017-0559-x

Cited by 18 publications

(16 citation statements)

References 53 publications

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“…Second, in prior research, policy-makers have said that the lack of relevant research is a barrier to developing evidence-informed policies. While considerable evidence has accumulated on gendered disparities in healthcare [8][9][10][11][12][13][14][15][16][17][18], less is known about what constitutes PCCW. We synthesised research published from 2008 to 2018 that investigated PCC and included at least 50% women and identified only four studies on depression and one on cardiovascular rehabilitation [69].…”

Section: Discussionmentioning

confidence: 99%

“…Participants referred to government policies for adults aged 18+ years. Issues referred to policies pertaining to depression or cardiac rehabilitation (or mental or cardiovascular health, more broadly), conditions with known gendered disparities in care and outcomes worldwide [8][9][10][11][12][13][14][15]. For example, compared with men, women with acute myocardial infarction underwent fewer procedures, had significantly higher risk of 30-day readmission, and were less likely to be referred for cardiac rehabilitation; additionally, women reporting depression were less likely to be referred or treated for those symptoms.…”

Section: Eligibilitymentioning

confidence: 99%

“…Since then, the concept of women's health has broadened from a focus on sexual and reproductive health to a life-course approach that considers other health challenges that affect women during and beyond their reproductive years [7]. Yet, considerable research shows that women are less likely than men to have medical needs addressed, access to a specialist, or report good patient-provider communication [8][9][10][11][12][13][14][15]. Such gendered disparities may be heightened by social determinants of health in both developed [16] and developing countries [17], which may influence women's access to services or their healthcare experience.…”

Section: Introductionmentioning

confidence: 99%

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Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Gagliardi

Dunn

Foster

et al. 2020

Health Res Policy Sys

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Background: Considerable research shows that women experience gendered disparities in healthcare access and quality. Patient-centred care (PCC) could reduce inequities by addressing the patient's clinical and personal needs. Healthcare policies can influence service delivery to optimise patient outcomes. This study assessed whether and how government policies recognise and promote PCC for women (PCCW). Methods: We analysed the content of English-language policies published in Canada from 2010 to 2018 on depression and cardiac rehabilitationconditions featuring known gendered inequitiesthat were identified on government websites. We extracted data and used summary statistics to enumerate mentions of PCC and women's health. Results: We included 30 policies (20 depression, 10 cardiac rehabilitation). Of those, 20 (66.7%) included any content related to PCC (median 1.0, range 0.0 to 5.0), most often exchanging information (14, 46.7%) and making decisions (13, 43.3%). Less frequent domains were enabling self-management (8, 26.7%), addressing emotions (6, 20.0%) and fostering the relationship (4, 13.3%). No policies included content for the domain of managing uncertainty. A higher proportion of cardiac rehabilitation guidelines included PCC content. Among the 30 policies, 7 (23.3%) included content related to at least one women's health domain (median 0.0, range 0.0 to 3.0). Most frequently included were social determinants of health (4, 13.3%). Fewer policies mentioned any issues to consider for women (2, 28.6%), issues specific to subgroups of women (2, 28.6%) or distinguished care for women from men (2, 28.6%). No policies included mention of abuse or violence, or discrimination or stigma. The policies largely pertained to depression. Despite mention of PCC or women's health, policies offered brief, vague guidance on how to achieve PCCW; for example, "Patients value being involved in decision-making" and "Women want care that is collaborative, woman-and family-centered, and culturally sensitive." Conclusions: Despite considerable evidence of need and international recommendations, most policies failed to recognise gendered disparities or promote PCC as a mitigating strategy. These identified gaps represent opportunities by which government policies could be developed or strengthened to support PCCW. Future research should investigate complementary strategies such as equipping policy-makers with the evidence and tools required to develop PCCW-informed policies.

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Section: Discussionmentioning

confidence: 99%

Section: Eligibilitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Gagliardi

Dunn

Foster

et al. 2020

Health Res Policy Sys

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“…The results found that the women in the tailored group program showed a greater reduction in depressive symptoms than women in the traditional CR group. The summary of CR benefits for women, presented in Table 1., is provided by Bennett, Lavie, and Grace (2017). Table 1 shows the benefit of CR in women.…”

Section: Benefits Of Crmentioning

confidence: 99%

Current status and future directions of cardiac rehabilitation program: a review of the literature

Sutantri

2019

J. Heal. Technol. Assess. Midwifery

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One of the effective treatments for patients recovering from acute cardiac illness or surgery is cardiac rehabilitation (CR). CR has proven to be effective to reduce mortality, morbidity, and also to improve the quality of life. The purpose of this review is to present the current status of CR program worldwide as well as to identify a potential approach for further investigation. Literature searching of electronic databases was conducted in several databases including CINAHL, MEDLINE, PsycINFO, and EMBASE, and Google Scholar. CR aims to restore patients with CVD to a state of good health. Each country has different approach in the provision and organization of CR as well as the allocation of resources, which depends on their health policies and politics. The indications for CR also differ between countries, but traditionally CR has been used following acute myocardial infarction (MI). CR programs have been divided into three phases of progression. Hospital-based or supervised site-based programs have been known as the most common model of CR in most countries. The core components of CR include patient assessment, nutritional counselling, exercise training, physical activity counselling, weight management, tobacco cessation, aggressive coronary risk-factor management, and psychosocial management. Despite the apparent benefits of CR in patients with CVD, these programs remain largely underused. The participation rates in the USA, Australia, and Europe are low, estimated at 10-30%. New research areas that explore new ways of CR delivery to improve referral and participation rates are essential.

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“…Given the totality of evidence, however, including reductions in mortality and morbidity in nonrandomized studies, and evidence of benefit for other important outcomes such as functional capacity and quality of life, it is maintained that CR does improve outcomes in women. 4 Therefore, women should continue to be referred and encouraged to enroll and adhere to these programs. Ethically conducted trials are needed to rigorously establish the benefits of CR on mortality and morbidity in women.…”

mentioning

confidence: 99%

The Paucity of Data Addressing the Effects of Cardiac Rehabilitation on Mortality and Morbidity in Women

Ghisi¹,

Chaves²,

Bennett³

et al. 2018

Canadian Journal of Cardiology

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Cardiac Rehabilitation Following Acute Coronary Syndrome in Women

Cited by 18 publications

References 53 publications

Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Is patient-centred care for women a priority for policy-makers? Content analysis of government policies

Current status and future directions of cardiac rehabilitation program: a review of the literature

The Paucity of Data Addressing the Effects of Cardiac Rehabilitation on Mortality and Morbidity in Women

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