The role of clinical and geographic factors in the use of hospital versus home-based cardiac rehabilitation.

International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation
Janette BrualSherry L Grace

Abstract

Cardiac rehabilitation (CR) is most often provided in a hospital setting. Home-based models of care have been developed to overcome geographic, among other, barriers in patients at a lower risk. This study assessed whether clinical and geographic factors were related to the use of either a hospital-based or a home-based program. Secondary analysis was undertaken within a study of 1268 cardiac outpatients recruited from 97 cardiologist practices where clinical data were extracted. Participants completed a survey including the Duke Activity Status Index. They reported CR utilization in a second survey mailed 9 months later, including CR site and program model. Geographic information systems were used to determine the distances and the drive times to the CR site attended from patients' homes. Overall, 469 (37.0%) participants attended CR at one of 41 programs. Of the 373 (79.5%) participants with complete geographic data, 43 (11.5%) reported attending home-based CR. The sole clinical difference was in activity status, where patients attending a hospital-based program had lower activity status (P<0.01). There were no differences in model attended on the basis of geographic parameters including urban versus rural dwelling or drive t...Continue Reading

Citations

Mar 30, 2013·BMC Health Services Research·Sherry L GraceCaroline Chessex
Oct 4, 2016·The Canadian Journal of Cardiology·Sherry L GraceDavid A Alter
Jul 5, 2013·Journal of Cardiopulmonary Rehabilitation and Prevention·Shamila ShanmugasegaramSherry L Grace
Jan 27, 2019·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·David B Grover, Jeffrey L Alexander
Jul 1, 2014·Journal of Cardiopulmonary Rehabilitation and Prevention·Mahdi Nalini
Feb 1, 2019·Heart·Aynsley CowieUNKNOWN British Association for Cardiovascular Prevention and Rehabilitation (BACPR)
Sep 13, 2018·Journal of Clinical Medicine·Gabriela Lima de Melo GhisiSherry L Grace

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