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November 1, 2008Journal of Cardiopulmonary Rehabilitation and Prevention

System-Level Factors and Use of Cardiac Rehabilitation

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Key result

Four system-level factors (referral assertiveness, delivery system integration, capacity constraints, and facility relationships) were identified as drivers of regional variation in CR use.

Population

Directors of cardiac rehabilitation facility programs and presidents of CR state associations operating in…

Design

Other

Authors

DGDeborah GurewichBoston UniversityJPJeffrey ProttasBrandeis UniversitySBSarita BhalotraBrandeis University

Discussion

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Implication

May inform policies to reduce CR disparities; leaves open whether targeting these factors improves utilization.

Structured PICO

P
Population
Qualitative study interviewing directors of CR facility programs and presidents of CR state associations in the United States to explore system-level factors affecting CR use.
E
Exposure
Qualitative telephone interviews exploring the political and cultural environment and technical capacity to secure referrals and convert referrals to enrollment.
O
Outcome
System-level factors explaining regional variation in cardiac rehabilitation use.

System-level factors such as referral assertiveness, integration within the delivery system, and capacity constraints may explain regional variations in cardiac rehabilitation utilization and represent targets for policy intervention.

Cite This Study

Gurewich et al. (2008) studied Cardiac rehabilitation. System-level factors was evaluated on System-level factors explaining regional variation in CR use. Four system-level factors (referral assertiveness, delivery system integration, capacity constraints, and facility relationships) were identified as drivers of regional variation in CR use.

synapsesocial.com/papers/6a76f761d8eb58afc2bd864ehttps://doi.org/10.1097/hcr.0b013e31818c3b5b
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Receipt of Outpatient Cardiac Rehabilitation Among Heart Attack Survivors—United States, 20052008 · 56 citations
  2. 2Temporal Trends and Associated Factors of Inpatient Cardiac Rehabilitation in Patients With Acute Myocardial Infarction: A Community-wide Perspective2001 · 33 citations
  3. 3Racial Disparities in Access to Cardiac Rehabilitation2006 · 68 citations
  4. 4Predictors of Referral to Cardiac Rehabilitation and Cardiac Exercise Self-Efficacy1998 · 44 citations
  5. 5Providersʼ Perceptions of Factors Affecting Womenʼs Referral to Outpatient Cardiac Rehabilitation Programs2004 · 32 citations