Systemic barriers, including lack of resources and commissioning exclusions, prevent heart failure patients from accessing cardiac rehabilitation in England, Wales, and Northern Ireland.
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Systemic barriers may restrict heart failure rehabilitation access; hypothesis-generating for policy reforms, requiring prospective confirmation.
Patients with heart failure as a primary diagnosis are excluded from most cardiac rehabilitation programmes in England, Wales and Northern Ireland. A lack of resources and direct exclusion from local commissioning agreements are the main barriers for not offering rehabilitation to patients with heart failure.
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Dalal et al. (2012) studied this question.
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