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May 1, 2012Journal of Cardiopulmonary Rehabilitation and PreventionOpen Access

Perceptions of Cardiac Specialists and Rehabilitation Programs Regarding Patient Access to Cardiac Rehabilitation and Referral Strategies

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Key result

Patients reported a median wait time of 42 days from hospital discharge to cardiac rehabilitation initiation, which exceeds the 30-day consensus benchmark, yet 91.5% considered their wait acceptable.

Why the study?

What are the perceptions of cardiac specialists and rehabilitation programs regarding patient access to cardiac rehabilitation and referral strategies?

Population

71 Canadian cardiac specialists and 92 cardiac rehabilitation programs

Design

Cross-sectional

Authors

SGSherry L. GracePreventive CardiologyYTYongyao TanUniversity of AucklandCSChris SimpsonUniversity of San Diego

Discussion

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Implication

Survey perceptions of CR barriers among specialists and programs; hypothesis-generating for referral interventions to close the access gap.

Study Design

Type

Cross-Sectional (n=326)

Multicenter

Yes

Structured PICO

What are the perceptions of cardiac specialists and rehabilitation programs regarding patient access to cardiac rehabilitation and referral strategies?

P
Population
163 cardiac rehabilitation enrollees (mean age 62.8 years, 21.5% female), 71 cardiac specialists, and 92 rehabilitation programs in Canada surveyed regarding actual and ideal wait times for cardiac rehabilitation.
E
Exposure
Postal and online surveys evaluating perceptions of cardiac rehabilitation access and referral strategies
O
Outcome
Perceptions of cardiac rehabilitation access and referral strategies rated on 5-point Likert scales

Effective referral strategies like electronic referrals are underutilized, and broader implementation along with better resourcing of CR programs may improve patient access to cardiac rehabilitation.

Limitations

  • Low response rate to the cardiac specialist survey (9.3%) limiting generalizability
  • Reliance on self-reported perceptions of wait times which may introduce estimation error
  • Multiple comparisons between specialist and program perceptions may have resulted in inflated error rates
  • Cross-sectional design precludes causal conclusions
  • Low response rate from CR specialists (9.3%)

Cite This Study

Grace et al. (2012) conducted a cross-sectional in Cardiac rehabilitation indication (n=326). Cardiac rehabilitation wait times vs. Consensus recommendations was evaluated on Patient-reported wait time from hospital discharge to cardiac rehabilitation initiation. Patients reported a median wait time of 42 days from hospital discharge to cardiac rehabilitation initiation, which exceeds the 30-day consensus benchmark, yet 91.5% considered their wait acceptable.

synapsesocial.com/papers/6a5cff79a59a9c8bb700866fhttps://doi.org/10.1097/hcr.0b013e31824e2df2
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Also Consider

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