Key result
Hospital-integrated physician care linked to ~11% higher cardiac rehabilitation participation versus independent physicians.
Why the study?
Despite clinical benefits, cardiac rehabilitation participation remains poor due to low referral rates and individual barriers to care.
Does care from a hospital-integrated physician improve cardiac rehabilitation participation in Medicare patients following major cardiovascular events?
Cohort (n=28,596)
Yes
Does care from a hospital-integrated physician improve cardiac rehabilitation participation in Medicare patients following major cardiovascular events?
Odds Ratio: 1.11 (95% CI 1.05–1.18)
Hospital-physician integration is associated with increased cardiac rehabilitation participation, which in turn is associated with reduced recurrent cardiovascular hospitalizations among Medicare beneficiaries.
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Findings should not yet change practice; hypothesis-generating for hospital integration effects on cardiac rehabilitation uptake.
Thai et al. (2025) conducted a cohort in Major Cardiovascular Events (n=28,596). Hospital-integrated physician care vs. Independent physicians was evaluated on Postindex cardiac rehabilitation participation (OR 1.11, 95% CI 1.05-1.18). Receiving care from a hospital-integrated physician was associated with an 11% increase in the odds of participating in cardiac rehabilitation (OR 1.11; 95% CI 1.05-1.18).