Cardiac Rehabilitation: Unraveling the Complexity of Referral and Current Models of Delivery

Astley, Carolyn M.; Neubeck, Lis; Gallagher, Robyn; Berry, Narelle; Du, Huiyun; Hill, Martha N.; Clark, Robyn A.

Abstract

Evidence-based guidelines recommend strategies for reducing risk factors for secondary prevention of acute coronary syndromes, yet referral to and completion of programs to deliver this advice are poor. In this article we describe the complexity of factors that influence referral and delivery of evidence-based cardiac rehabilitation (CR) programs through an Australian context and provide direction for solutions for clinicians and policy makers to consider. The Ecological Approach is used as a framework to synthesize evidence.

• Journal Article Type: Article
• Acceptance Date: Apr 12, 2016
• Publication Date: 2017
• Deposit Date: Oct 25, 2016
• Journal: The Journal of Cardiovascular Nursing
• Print ISSN: 0889-4655
• Electronic ISSN: 1550-5049
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 32
• Issue: 3
• Pages: 236-243
• DOI: https://doi.org/10.1097/jcn.0000000000000332
• Keywords: Cardiac rehabilitation, models of delivery, referral, secondary prevention,
• Public URL: http://researchrepository.napier.ac.uk/Output/407897