TY - JOUR
T1 - Cardiac rehabilitation after myocardial infarction
T2 - A review to understand barriers to participation and potential solutions
AU - Witt, B. J.
AU - Thomas, R. J.
AU - Roger, V. L.
PY - 2005/3/1
Y1 - 2005/3/1
N2 - As survival after myocardial infarction (MI) improves, secondary prevention is becoming increasingly important. Cardiac rehabilitation (CR) is one modality for delivery of secondary prevention, whose ultimate goal is to help patients receive appropriate preventive therapies that will help them optimize health and reduce the risk of future cardiac diseases. However, participation rates in CR are less than optimal: in the United States, only 29.5% of MI survivors participated, in Japan 21% of those with acute MI, and in Australia 29% of those eligible were referred, and only 1/3 of those referred actually attended CR; moreover, there does not appear to be a trend towards increasing participation over time. After reviewing the components of CR and the benefits of participation, this paper will focus on the barriers to participation in CR: from a theoretical framework to consider barriers at patient, provider, health system, and societal levels. We then explore the possible solutions to overcome them and finally propose recommendation for future research.
AB - As survival after myocardial infarction (MI) improves, secondary prevention is becoming increasingly important. Cardiac rehabilitation (CR) is one modality for delivery of secondary prevention, whose ultimate goal is to help patients receive appropriate preventive therapies that will help them optimize health and reduce the risk of future cardiac diseases. However, participation rates in CR are less than optimal: in the United States, only 29.5% of MI survivors participated, in Japan 21% of those with acute MI, and in Australia 29% of those eligible were referred, and only 1/3 of those referred actually attended CR; moreover, there does not appear to be a trend towards increasing participation over time. After reviewing the components of CR and the benefits of participation, this paper will focus on the barriers to participation in CR: from a theoretical framework to consider barriers at patient, provider, health system, and societal levels. We then explore the possible solutions to overcome them and finally propose recommendation for future research.
KW - Cardiac rehabilitation
KW - Exercise
KW - Myocardial infarction
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M3 - Review article
C2 - 16175768
AN - SCOPUS:27244455099
VL - 41
SP - 27
EP - 34
JO - European Journal of Physical and Rehabilitation Medicine
JF - European Journal of Physical and Rehabilitation Medicine
SN - 1973-9087
IS - 1
ER -