Increasing Referral and Participation Rates to Outpatient Cardiac Rehabilitation: The Valuable Role of Healthcare Professionals in the Inpatient and Home Health Settings

Arena, Ross; Williams, Mark A.; Forman, Daniel E.; Cahalin, Lawrence P.; Coke, Lola; Myers, Jonathan; Hamm, Larry F.; Kris-Etherton, Penny M.; Humphrey, Reed; Bittner, Vera; Lavie, Carl J.

doi:10.1161/cir.0b013e318246b1e5

Cited by 165 publications

(130 citation statements)

References 48 publications

(44 reference statements)

Supporting

Mentioning

124

Contrasting

Unclassified

Order By: Relevance

“…They would have to complete the form and pass it to a nurse-practitioner or physician to sign the form. However, in accordance with a recent statement from the American Heart Association, it is recommended that all HCPs are involved in the referral process, (Arena et al, 2012) so that CR utilization rates can be increased.…”

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

“…Referral to CR, involving form completion and submission by a healthcare provider (HCP), is required to initiate patient access (Arena et al, 2012;Balady et al, 2011;Grace et al, 2011). The patient should be informed that the referral is being submitted (i.e., CR referral discussion), and to expect a phone call at home from the program in the week or so post-discharge.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

et al. 2014

View full text Add to dashboard Cite

Cardiovascular rehabilitation (CR) has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-healthcare provider (HCP) interactions regarding CR, and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their HCPs. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 HCPs and 50 patients were recorded. CR referral was related to greater HCP interactivity (Odds Ratio [OR]=2.82, 95% CI 1.01-7.86), and less patient concern and worry (OR=0.64, 95% CI 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.

show abstract

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

et al. 2014

View full text Add to dashboard Cite

show abstract

“…There are loud calls to increase CR provision in high-income countries, 120 and clearly these calls need to be broadcast in LMICs. Implementation of evidence-based care is highly dependent upon the behaviors of policy-makers, healthcare professionals and patients.…”

Section: Strategies To Increase Cr Provisionmentioning

confidence: 99%

Global availability of cardiac rehabilitation

2014

View full text Add to dashboard Cite

The most prevalent non-communicable disease globally, namely cardiovascular disease (CVD), is also the leading cause of mortality, with over 80% of the deaths occurring in low-and middleincome countries. To lessen the impact of CVDs on individuals and societies, a comprehensive approach is needed. Cardiac rehabilitation (CR) involves delivery of structured exercise, education and risk reduction, in a cost-effective manner. Robust evidence demonstrates it reduces mortality up to 25%, improves functional capacity, as well as decreases re-hospitalization. Despite its benefits, and clinical practice guideline recommendations to refer cardiac patients, CR programs are grossly under-used. Worldwide, there is low availability of CR; only 38.8% of countries globally have CR programs. Specifically, 68.0% of high-income and 23% of LMICs (28.2% for middle-and 8.3% for low-income countries) have CR. CR density estimates ranged from 1 program per 0.1-6.4 million inhabitants. CR availability is much lower than that of other evidencebased secondary prevention therapies, such as revascularization and pharmacological therapies. Multi-level strategies to augment CR capacity and availability at national and international levels such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed.

show abstract

“…[12] The recommendation from the AHA Science Advisory regarding education to health professionals about the benefit from CR, might be an important step in broadening the referral base. [28] Methodological considerations The women's assessment of their physical activity prior to the AMI was elicited retrospectively, with the possibility of inaccuracy. However, the strength of this study is that it was a population-based sample, which included hospitals of various sizes.…”

Section: Discussionmentioning

confidence: 99%

Physical activity in women after an acute myocardial infarction

Løvlien

Mundal

Hall‐Lord

2015

JNEP

View full text Add to dashboard Cite

Citation for the original published paper (version of record):Løvlien, M., Mundal, L., Hall-Lord, M-L. (2015) Physical activity in women after an acute myocardial infarction.. ABSTRACT Background: Physical activity is recognized as being important in reducing mortality after an acute myocardial infarction. The study aimed to describe younger and older women's leisure time physical activity after an acute myocardial infarction, their motivations and barriers for engaging in physical activity and to assess aspects associated with referral and attendance in cardiac rehabilitation programmes. Methods: Women diagnosed with an acute myocardial infarction were consecutively recruited and answered a questionnaire 2-3 months after hospital discharge. Journal of Nursing Education andResults: The majority of the respondents (86%) were physically active after their acute myocardial infarction and 34% were physically active ≥ 4 days a week for ≥ 30 minutes. Respondents ≥ 66 years were less likely than respondents < 66 years to report moderate physical activity (39% vs. 58%, p = .03) and more likely to report low physical activity (27% vs. 8%, p < .01). No differences were found between these age groups reporting high physical activity (34% vs. 34%). Respondents ≥ 66 years were also less likely than younger respondents to maintain or increase their physical activity after the acute event (59% vs. 76%, p < .01), to be informed about the significance of physical activity while in hospital (61% vs. 80%, p = .01), to be referred to a cardiac rehabilitation programme (49% vs. 75%, p ≤ .01) and to attend such a programme (30% vs. 65%, p < .01). Conclusions: Women's age was associated with physical activity as well as their possibilities regarding cardiac rehabilitation after an acute myocardial infarction.

show abstract

Increasing Referral and Participation Rates to Outpatient Cardiac Rehabilitation: The Valuable Role of Healthcare Professionals in the Inpatient and Home Health Settings

Cited by 165 publications

References 48 publications

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

Global availability of cardiac rehabilitation

Physical activity in women after an acute myocardial infarction

Contact Info

Product

Resources

About