Facilitating or getting in the way? The effect of clinicians' knowledge, values and beliefs on referral and participation

European Journal of Preventive Cardiology
Robyn GallagherRobyn Clark

Abstract

Despite the compelling evidence of the benefits of cardiac rehabilitation (CR) on risk factor modification, quality of life and mortality reduction, a significant proportion of eligible patients are not referred or do not participate. Factors influencing CR referral and participation are complex and are likely patient, referral system and clinician-related. Little is known about clinician-related factors, which include attitudes, values and beliefs towards CR, or how these factors affect patient referral and attendance. This review examines the current evidence in the literature in relation to clinicians' attitudes, values and beliefs about CR. A review of the literature was conducted on studies in relation to clinicians' attitudes, values and beliefs toward CR. An expert consensus methodology was used to develop the concepts presented in this paper. Besides guidelines, a range of other factors influence clinicians' view about CR. This review suggests that clinicians lacking cardiac qualifications may have limited knowledge and awareness of CR and its benefits. Low agreement among clinicians on who is more likely to benefit from CR was also identified. Clinicians' personal lifestyle and health belief, the availability and quali...Continue Reading

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Citations

Oct 4, 2016·The Canadian Journal of Cardiology·Sherry L GraceDavid A Alter
Jan 26, 2021·Journal of Immigrant and Minority Health·Lais Manata VanzellaGabriela L M Ghisi
Jul 15, 2021·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·D ConijnJ J L Meesters
Jul 17, 2021·Current Cardiology Reports·Sherry L GraceMary A Whooley

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Methods Mentioned

BETA
coronary artery bypass

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