Delivery of outpatient cardiac rehabilitation in a managed care organization

Journal of Cardiopulmonary Rehabilitation
Douglas RoblinMelanie Eley

Abstract

This study aimed to assess referral and enrollment rates for postdischarge outpatient cardiac rehabilitation in a managed care organization. A prospective cohort study investigated Atlanta area managed care members, age 30 years or older, hospitalized for acute myocardial infarction or coronary revascularization during 1997-1999. Postdischarge cardiology medical records were abstracted for evidence of postdischarge visits; counseling on diet, weight, or exercise; and referral to outpatient cardiac rehabilitation. Enrollment in outpatient cardiac rehabilitation was confirmed by chart abstraction. Referral and enrollment rates were estimated using logistic regression models. Of the 945 hospitalized patients, 783 remained alive and enrolled in the managed care organization 12 months after discharge. Of these 783 patients, 73.8% had at least one postdischarge cardiologist visit. Among these, 24.4% were referred by a cardiologist to outpatient cardiac rehabilitation, and 7.1% enrolled. Enrollment was significantly higher among patients with a documented referral than among patients not referred (P <.05). Patients 65 years of age or older were significantly less likely than younger patients to be referred to cardiac rehabilitation an...Continue Reading

References

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Citations

Jul 6, 2004·Journal of Cardiopulmonary Rehabilitation·George A Mensah
Apr 9, 2005·Journal of Cardiopulmonary Rehabilitation·M LeibowitzD David
Feb 15, 2011·Journal of Cardiopulmonary Rehabilitation and Prevention·Melisa N WeingartenRay W Squires
May 1, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Dugald SeelyGordon Guyatt
Apr 15, 2014·The Canadian Journal of Cardiology·Liz SamayoaTracey J F Colella
Oct 1, 2010·Preventive Cardiology·Thomas BoydenBarry Franklin
Jan 30, 2014·European Journal of Preventive Cardiology·Tracey Jf ColellaLisa Benz Scott
May 12, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Mary KerinsKathleen Bennett
Apr 8, 2018·Journal of the American Heart Association·Shanshan LiDeepak L Bhatt
Feb 4, 2010·Circulation·Neal B Patel, Gary J Balady
Mar 15, 2018·Journal of Racial and Ethnic Health Disparities·Luis R CastellanosIgnacio A Zepeda

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