Access to cardiac rehabilitation does not equate to attendance

Clark, Robyn A., Coffee, Neil, Turner, Dorothy, Eckert, Kerena A., van Gaans, Deborah, Wilkinson, David, Stewart, Simon and Tonkin, Andrew M. (2014) Access to cardiac rehabilitation does not equate to attendance. European Journal of Cardiovascular Nursing, 13 3: 235-242. doi:10.1177/1474515113486376

Author Clark, Robyn A.
Coffee, Neil
Turner, Dorothy
Eckert, Kerena A.
van Gaans, Deborah
Wilkinson, David
Stewart, Simon
Tonkin, Andrew M.
Title Access to cardiac rehabilitation does not equate to attendance
Journal name European Journal of Cardiovascular Nursing   Check publisher's open access policy
ISSN 1873-1953
Publication date 2014-06-01
Year available 2014
Sub-type Article (original research)
DOI 10.1177/1474515113486376
Volume 13
Issue 3
Start page 235
End page 242
Total pages 8
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Formatted abstract
Background/Aims: Timely access to appropriate cardiac care is critical for optimizing positive outcomes after a cardiac event. Attendance at cardiac rehabilitation (CR) remains less than optimal (10%30%). Our aim was to derive an objective, comparable, geographic measure reflecting access to cardiac services after a cardiac event in Australia.

Methods: An expert panel defined a single patient care pathway and a hierarchy of the minimum health services for CR and secondary prevention. Using geographic information systems a numeric/alpha index was modelled to describe access before and after a cardiac event. The aftercare phase was modelled into five alphabetical categories: from category A (access to medical service, pharmacy, CR, pathology within 1 h) to category E (no services available within 1 h).

Results: Approximately 96% or 19 million people lived within 1 h of the four basic services to support CR and secondary prevention, including 96% of older Australians and 75% of the indigenous population. Conversely, 14% (64,000) indigenous people resided in population locations that had poor access to health services that support CR after a cardiac event.

Conclusion: Results demonstrated that the majority of Australians had excellent geographic access to services to support CR and secondary prevention. Therefore, it appears that it is not the distance to services that affects attendance. Our geographic lens has identified that more research on socioeconomic, sociological or psychological aspects to attendance is needed.
Keyword Access
Secondary prevention
Geographic information systems
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
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