| Utilisation of outpatient cardiac rehabilitation in Queensland. | |
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MedLine Citation:
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PMID: 14503895 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To determine patient participation rates in outpatient cardiac rehabilitation (OCR) programs; ascertain the barriers to participation; and evaluate the quality of OCR programs. DESIGN AND SETTING: Retrospective cohort study of patient separations from selected public and private Queensland hospitals; questionnaire survey of hospitals and all registered OCR programs. PARTICIPANTS: Patients discharged with cardiac diagnoses between 1 July 1999 and 30 June 2000 from 31 hospitals (24 public; 7 private). MAIN OUTCOME MEASURES: Rates of referral of hospitalised patients to OCR programs; rates of program attendance and completion; barriers to OCR referral and attendance. RESULTS: 15 186 patients were discharged with cardiac diagnoses from participating hospitals, of whom 4346 (29%) were referred to an OCR program after discharge, compared with an estimated 59% (8895/15 186) of patients who were eligible for such a program. Proportionately more patients were referred from secondary (38% [1720/4500]) and private (52% [2116/4031]; P < 0.001) hospitals than from tertiary (25% [2626/10 686]) and public (20% [2230/11 155]) hospitals. Patients undergoing coronary revascularisation procedures comprised 35% of discharges, but accounted for 56% of all program attendances. Fewer than a third of all referred patients completed OCR programs, and only 39% of available OCR program places were fully utilised. Catchment populations of programs with unused places had excess coronary mortality. CONCLUSION: There is significant underutilisation of facility-based OCR programs in Queensland. Procedures are required for identifying and referring eligible patients to existing programs and improving program compliance. Alternative OCR models are also required. |
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Authors:
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Ian A Scott; Kylie A Lindsay; Hazel E Harden |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Medical journal of Australia Volume: 179 ISSN: 0025-729X ISO Abbreviation: Med. J. Aust. Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-09-23 Completed Date: 2003-11-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0400714 Medline TA: Med J Aust Country: Australia |
Other Details:
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Languages: eng Pagination: 341-5 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Level 5, Medical Specialties, Princess Alexandra Hospital, Mail Drop Bag 69, Woolloongabba, QLD 4102, Australia. ian_scott@health.qld.gov.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ambulatory Care / utilization Angioplasty, Transluminal, Percutaneous Coronary / rehabilitation* Coronary Artery Bypass / rehabilitation* Exercise Therapy / statistics & numerical data* Health Services Accessibility Hospitals, Private / statistics & numerical data Hospitals, Public / statistics & numerical data Humans Myocardial Infarction / rehabilitation* Patient Compliance / statistics & numerical data* Queensland Referral and Consultation / statistics & numerical data* Retrospective Studies |
| Comments/Corrections | |
Comment In:
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Med J Aust. 2003 Oct 6;179(7):332-3
[PMID:
14503890
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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