The paper highlights the need for creative and flexible approaches to enhance access, participation, and adherence in cardiac rehabilitation in the UK.
May guide UK cardiac rehabilitation service improvements; leaves open effects on access and adherence without prospective evaluation.
Cardiac rehabilitation has assumed more prominence over the past decade, due largely to an increase in user demand, an improvement in the evidence base and an enhancement of its status. This paper presents a view from the United Kingdom and suggests some ways in which cardiac rehabilitation can be improved by focusing on a number of key issues: service organisation and delivery, process and outcome measurement, performance management, and education, training and continuing professional development. The paper concludes that there is a need to make cardiac rehabilitation more widely available using creative and flexible approaches to enhance access, participation and adherence.
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David R. Thompson (2002) studied this question.
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