Automatic Referral to Cardiac Rehabilitation
Bibliographic Data
| ID | 9098880 |
|---|---|
| Authors | Sherry L Grace (0000-0001-7063-3610, University Health Network, corresponding author), Alexandra Evindar (University Health Network, corresponding author), Tabitha N Kung, Tabitha Kung (University of Toronto), Patricia E Scholey, Patricia Scholey, Donna E Stewart (0000-0002-8157-7746, University Health Network, corresponding author) |
| Year | 2004 |
| Volume | 42 |
| Issue | 7 |
| Pages | 661-669 |
| Publication date | 2004-07-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000129901.05299.aa |
| PMID | 15213491 |
| OpenAlex | W1993986084 |
| Language | EN |
| Citations received | 6 |
| References cited | 37 |
OBJECTIVES: Cardiac rehabilitation (CR) remains underused and inconsistently accessed, particularly for women and minorities. This study examined the factors associated with CR enrollment within the context of an automatic referral system through a retrospective chart review plus survey. Through the Behavioral Model of Health Services Utilization, it was postulated that enabling and perceived need factors, but not predisposing factors, would significantly predict patient enrollment. SUBJECTS: A random sample of all atherosclerotic heart disease (AHD) patients treated at a tertiary care center (Trillium Health Centre, Ontario, Canada) from April 2001 to May 2002 (n = 501) were mailed a survey using a modified Dillman method (71% response rate). MEASURES: Predisposing measures consisted of sociodemographics such as age, sex, ethnocultural background, work status, level of education, and income. Enabling factors consisted of barriers and facilitators to CR attendance, exercise benefits and barriers (EBBS), and social support (MOS). Perceived need factors consisted of illness perceptions (IPQ) and body mass index. RESULTS: Of the 272 participants, 199 (73.2%) attended a CR assessment. Lower denial/minimization, fewer logistical barriers to CR (eg, distance, cost), and lower perceptions of AHD as cyclical or episodic reliably predicted CR enrollment among cardiac patients who were automatically referred. CONCLUSION: Because none of the predisposing factors were significant in the final model, this suggests that factors associated with CR enrollment within the context of an automatic referral model relate to enabling factors and perceived need. A prospective controlled evaluation of automatic referral is warranted
Attendance · Body mass index · Context (archaeology) · Denial · Family medicine · Physical therapy · Referral · Cardiac Health and Mental Health · Cardiovascular and exercise physiology · Internal Medicine · Medicine · Psychology · Rehabilitation · Stroke Rehabilitation and Recovery · Gerontology
Equity of access to cardiac rehabilitation
Socioeconomic status and cardiovascular disease
Sociodemographic, Disease Status, and Illness Perceptions Predictors of Global Self-ratings of Health and Quality of Life Among those with Coronary Heart Disease – One Year Follow-up Study
Reliability, Validity, and Gender Invariance of the Exercise Benefits/Barriers Scale
Longitudinal Course of Depressive Symptomatology After a Cardiac Event
Patients’ Care Transition in Cardiac Rehabilitation
Depression Following Myocardial Infarction
The Revised Illness Perception Questionnaire (IPQ-R)
Ethnicity, Aging, and Oral Health Outcomes
The validity of the Hospital Anxiety and Depression Scale
The Hospital Anxiety and Depression Scale
The MOS social support survey
Revisiting the Behavioral Model and Access to Medical Care
| Citations per year | 0.29 |
|---|---|
| Citation span | 2005 - 2024 (20) |
| Highly cited | No |