Key result
Cardiovascular rehabilitation referral was significantly associated with greater healthcare provider interactivity (OR 2.82) and less patient concern and worry (OR 0.64) during clinical discussions.
Why the study?
Does greater health-care provider interactivity and less patient concern during discussions improve cardiovascular rehabilitation referral in cardiovascular patients?
Observational (n=50)
Yes
Does greater health-care provider interactivity and less patient concern during discussions improve cardiovascular rehabilitation referral in cardiovascular patients?
Odds Ratio: 2.82 (95% CI 1.01–7.86)
Greater healthcare provider interactivity and reduced patient concern during clinical discussions are associated with significantly higher rates of cardiovascular rehabilitation referral.
Supports enhanced provider-patient communication for higher referral rates; hypothesis-generating and leaves open causality in observational data.
Cardiovascular rehabilitation has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-health-care provider interactions regarding cardiovascular rehabilitation and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their health-care providers. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 health-care providers and 50 patients were recorded. Cardiovascular rehabilitation referral was related to greater health-care provider interactivity (odds ratio = 2.82, 95% confidence interval = 1.01-7.86) and less patient concern and worry (odds ratio = 0.64, 95% confidence interval = 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.
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Pourhabib et al. (2014) conducted an observational in Cardiovascular disease with indication for rehabilitation (n=50). Greater healthcare provider interactivity vs. Lower healthcare provider interactivity was evaluated on Cardiovascular rehabilitation referral (OR 2.82, 95% CI 1.01-7.86). Cardiovascular rehabilitation referral was significantly associated with greater healthcare provider interactivity (OR 2.82) and less patient concern and worry (OR 0.64) during clinical discussions.
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