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Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?

OBJECTIVE: To address access to cardiac rehabilitation (CR) for people in R&R areas, this research aimed to investigate: (1) post discharge systems and support for people returning home from hospital following treatment for heart disease (HD). (2) propose changes to improve access to CR in R&...

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Detalles Bibliográficos
Autores principales: Field, Patricia, Franklin, Richard C., Barker, Ruth, Ring, Ian, Leggat, Peter A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9544293/
https://www.ncbi.nlm.nih.gov/pubmed/35298054
http://dx.doi.org/10.1111/ajr.12861
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author Field, Patricia
Franklin, Richard C.
Barker, Ruth
Ring, Ian
Leggat, Peter A
author_facet Field, Patricia
Franklin, Richard C.
Barker, Ruth
Ring, Ian
Leggat, Peter A
author_sort Field, Patricia
collection PubMed
description OBJECTIVE: To address access to cardiac rehabilitation (CR) for people in R&R areas, this research aimed to investigate: (1) post discharge systems and support for people returning home from hospital following treatment for heart disease (HD). (2) propose changes to improve access to CR in R&R areas of NQ. SETTING: Four focus communities in R&R areas of NQ. PARTICIPANTS: Focus communities’ health staff (resident/visiting) (57), community leaders (10) and community residents (44), discharged from hospital in past 5 years following treatment for heart disease (purposeful sampling). DESIGN: A qualitative descriptive case study, with data collection via semi‐structured interviews. Inductive/deductive thematic analysis was used to identify primary and secondary themes. Health service audit of selected communities. RESULTS: Health services in the focus communities included multipurpose health services, and primary health care centres staffed by resident and visiting staff that included nurses, Aboriginal and Torres Strait Islander Health Workers, medical officers, and allied health professionals. Post‐discharge health care for people with HD was predominantly clinical. Barriers to CR included low referrals to community‐based health professions by discharging hospitals; poorly defined referral pathways; lack of guidelines; inadequate understanding of holistic, multidisciplinary CR by health staff, community participants and leaders; limited centre‐based CR services; lack of awareness, or acceptance of telephone support services. CONCLUSION: To address barriers identified for CR in R&R areas, health care systems’ revision, including development of referral pathways to local health professionals, CR guidelines and in‐service education, is required to developing a model of care that focuses on self‐management and education: Heart: Road to Health.
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spelling pubmed-95442932022-10-14 Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing? Field, Patricia Franklin, Richard C. Barker, Ruth Ring, Ian Leggat, Peter A Aust J Rural Health Original Research OBJECTIVE: To address access to cardiac rehabilitation (CR) for people in R&R areas, this research aimed to investigate: (1) post discharge systems and support for people returning home from hospital following treatment for heart disease (HD). (2) propose changes to improve access to CR in R&R areas of NQ. SETTING: Four focus communities in R&R areas of NQ. PARTICIPANTS: Focus communities’ health staff (resident/visiting) (57), community leaders (10) and community residents (44), discharged from hospital in past 5 years following treatment for heart disease (purposeful sampling). DESIGN: A qualitative descriptive case study, with data collection via semi‐structured interviews. Inductive/deductive thematic analysis was used to identify primary and secondary themes. Health service audit of selected communities. RESULTS: Health services in the focus communities included multipurpose health services, and primary health care centres staffed by resident and visiting staff that included nurses, Aboriginal and Torres Strait Islander Health Workers, medical officers, and allied health professionals. Post‐discharge health care for people with HD was predominantly clinical. Barriers to CR included low referrals to community‐based health professions by discharging hospitals; poorly defined referral pathways; lack of guidelines; inadequate understanding of holistic, multidisciplinary CR by health staff, community participants and leaders; limited centre‐based CR services; lack of awareness, or acceptance of telephone support services. CONCLUSION: To address barriers identified for CR in R&R areas, health care systems’ revision, including development of referral pathways to local health professionals, CR guidelines and in‐service education, is required to developing a model of care that focuses on self‐management and education: Heart: Road to Health. John Wiley and Sons Inc. 2022-03-17 2022-08 /pmc/articles/PMC9544293/ /pubmed/35298054 http://dx.doi.org/10.1111/ajr.12861 Text en © 2022 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Research
Field, Patricia
Franklin, Richard C.
Barker, Ruth
Ring, Ian
Leggat, Peter A
Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?
title Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?
title_full Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?
title_fullStr Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?
title_full_unstemmed Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?
title_short Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?
title_sort cardiac rehabilitation in rural and remote areas of north queensland: how well are we doing?
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9544293/
https://www.ncbi.nlm.nih.gov/pubmed/35298054
http://dx.doi.org/10.1111/ajr.12861
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