Access to cardiac rehabilitation does not equate to attendance

Clark, Robyn A., Coffee, Neil, Turner, Dorothy, Eckert, Kerena, van Gaans, Deborah, Wilkinson , David, Stewart, Simon, & Tonkin, Andrew M. (2013) Access to cardiac rehabilitation does not equate to attendance. European Journal of Cardiovascular Nursing, 13(3), pp. 235-242.

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Abstract

Background/Aims

Timely access to appropriate cardiac care is critical for optimizing positive outcomes after a cardiac event. Attendance at cardiac rehabilitation (CR) remains less than optimal (10%–30%). Our aim was to derive an objective, comparable, geographic measure reflecting access to cardiac services after a cardiac event in Australia.

Methods

An expert panel defined a single patient care pathway and a hierarchy of the minimum health services for CR and secondary prevention. Using geographic information systems a numeric/alpha index was modelled to describe access before and after a cardiac event. The aftercare phase was modelled into five alphabetical categories: from category A (access to medical service, pharmacy, CR, pathology within 1 h) to category E (no services available within 1 h).

Results

Approximately 96% or 19 million people lived within 1 h of the four basic services to support CR and secondary prevention, including 96% of older Australians and 75% of the indigenous population. Conversely, 14% (64,000) indigenous people resided in population locations that had poor access to health services that support CR after a cardiac event.

Conclusion

Results demonstrated that the majority of Australians had excellent ‘geographic’ access to services to support CR and secondary prevention. Therefore, it appears that it is not the distance to services that affects attendance. Our ‘geographic’ lens has identified that more research on socioeconomic, sociological or psychological aspects to attendance is needed.

Impact and interest:

4 citations in Scopus
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4 citations in Web of Science®

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ID Code: 55724
Item Type: Journal Article
Refereed: Yes
DOI: 10.1177/1474515113486376
ISSN: 1873-1953
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CARDIOVASCULAR MEDICINE AND HAEMATOLOGY (110200)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Funding:
Copyright Owner: Copyright 2013 by European Society of Cardiology
Deposited On: 18 Dec 2012 02:27
Last Modified: 27 Aug 2014 02:46

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