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Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care

Citation

Giuliano, C and Parmenter, BJ and Baker, MK and Mitchell, BL and Williams, AD and Lyndon, K and Mair, T and Maiorana, A and Smart, NA and Levinger, I, Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care, Clinical Medicine Insights. Cardiology, 11 pp. 1-7. ISSN 1179-5468 (2017) [Refereed Article]


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DOI: doi:10.1177/1179546817710028

Abstract

Coronary artery disease (CAD) is a leading cause of disease burden worldwide. Referral to cardiac rehabilitation (CR) is a class I recommendation for all patients with CAD based on findings that participation can reduce cardiovascular and all-cause mortality, as well as improve functional capacity and quality of life. However, programme uptake remains low, systematic progression through the traditional CR phases is often lacking, and communication between health care providers is frequently suboptimal, resulting in fragmented care. Only 30% to 50% of eligible patients are typically referred to outpatient CR and fewer still complete the programme. In contemporary models of CR, patients are no longer treated by a single practitioner, but rather by an array of health professionals, across multiples specialities and health care settings. The risk of fragmented care in CR may be great, and a concerted approach is required to achieve continuity and optimise patient outcomes. ‘Continuity of care’ has been described as the delivery of services in a coherent, logical, and timely fashion and which entails 3 specific domains: informational, management, and relational continuity. This is examined in the context of CR.

Item Details

Item Type:Refereed Article
Keywords:cardiac rehabilitation, continuity of care, models of care
Research Division:Medical and Health Sciences
Research Group:Human Movement and Sports Science
Research Field:Exercise Physiology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
Author:Williams, AD (Associate Professor Andrew Williams)
ID Code:120016
Year Published:2017
Deposited By:Health Sciences
Deposited On:2017-08-08
Last Modified:2017-08-21
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