Experience of exclusion: A framework analysis of socioeconomic factors affecting cardiac rehabilitation participation among patients with acute coronary syndrome

European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Maria PedersenIngrid Egerod

Abstract

The Danish public healthcare system provides comprehensive care based on the principle of equal access. However, it is well documented that patients with low socioeconomic position are less likely to participate in cardiac rehabilitation. More knowledge is needed to understand this phenomenon. The aim of the study was to explore the patient experience of barriers to completion of phase II cardiac rehabilitation, and to investigate the impact of socioeconomic factors on completion of cardiac rehabilitation. The study had a qualitative explorative design using semi-structured individual or dyadic interviews with patients ( n = 24) and close relatives ( n = 12). Informants were sampled from a quantitative prospective study of 302 patients with acute coronary syndrome and data were analyzed using the framework method. Patients in different socioeconomic groups were challenged by a rigid and non-individualized rehabilitation program. A total of five themes were identified that might explain non-participation in cardiac rehabilitation: exclusion by time and place, exclusion by health beliefs, exclusion from counseling, exclusion by alienation, and exclusion of relatives. The themes were described in a matrix of socioeconomic factors ...Continue Reading

References

Jun 24, 2008·Journal of Epidemiology and Community Health·T Abel
Jul 11, 2008·European Journal of Public Health·Kirsten M NielsenMogens L Larsen
Sep 19, 2008·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Gerard J MolloyYoichi Chida
Jul 29, 2010·Qualitative Health Research·Zvi Eisikovits, Chaya Koren
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Nov 6, 2015·European Journal of Preventive Cardiology·Anne V ChristensenKnud Juel

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Citations

Feb 7, 2018·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sara Wallström, Inger Ekman
Nov 26, 2019·European Heart Journal. Acute Cardiovascular Care·Bartosz HudzikMariusz Gąsior
Mar 12, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Inger EkmanPatricia Olaya Contreras
Mar 23, 2021·Applied Nursing Research : ANR·Julie Høgsgaard AndersenSanne Lykke Lundstrøm
Apr 14, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Maria PedersenDorthe Overgaard

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