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首页> 外文期刊>Journal of cardiopulmonary rehabilitation and prevention >Perceptions of cardiac specialists and rehabilitation programs regarding patient access to cardiac rehabilitation and referral strategies
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Perceptions of cardiac specialists and rehabilitation programs regarding patient access to cardiac rehabilitation and referral strategies

机译：心脏专科医生对患者获得心脏康复和转诊策略的看法和康复计划

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BACKGROUND: Access to cardiac rehabilitation (CR) remains at approximately 30%, despite a national target of 70%. This study evaluated cardiac specialist and CR program perceptions of CR access and referral strategies. METHODS: Postal and online surveys of Canadian CR specialists and CR programs were administered. Responses were received from 71 of 765 CR specialists (9.3%) and 92 of 149 CR programs (61.7%). Respondents rated perceptions on 5-point Likert scales. RESULTS: Specialists rated patient access to CR as moderate (2.9 ± 1.4). While they reported that they refer 65.9% of their patients, they most frequently do not refer because their patients report disinterest (23.4%) or geographic barriers to access (23.4%). Cardiac rehabilitation programs reported having capacity to serve a median of 275 patients annually, yet reportedly serving up to 350. The most commonly used methods of referral included discharge order sets (over 60%) and allied health care provider support. Electronic referral was perceived to be highly effective (4.1 ± 1.0) yet the least frequently used. Cardiac rehabilitation programs perceived more patients are accessing CR because of these referral strategies, but increased patients strain program resources. CONCLUSIONS: Some of the least frequently used referral strategies were perceived as, and are also empirically demonstrated to be, most effective. Broader implementation of these strategies, while better-resourcing CR programs, may improve the continuum of care for cardiac patients.
机译：背景：尽管全国目标是70％，但心脏康复（CR）的比例仍约为30％。这项研究评估了心脏专科医生和CR程序对CR通路和转诊策略的看法。方法：对加拿大企业责任专家和企业责任计划进行邮政和在线调查。 765名CR专家中的71名（9.3％）和149个CR项目中的92名（61.7％）收到了答复。受访者使用5点李克特量表对看法进行了评分。结果：专家将患者获得CR的程度定为中度（2.9±1.4）。虽然他们报告说他们转诊了65.9％的患者，但他们最常不转诊是因为他们的患者报告无兴趣（23.4％）或地理障碍（23.4％）。心脏康复计划报告说，每年有能力为275名患者提供服务，但据报道可服务350名患者。最常用的转诊方法包括出院命令集（超过60％）和相关医疗服务提供者的支持。电子推荐被认为是高效的（4.1±1.0），但使用频率最低。由于这些转诊策略，心脏康复计划认为更多的患者正在接受CR，但是增加了患者的计划资源。结论：一些最不常用的推荐策略被认为是最有效的，并且在经验上也被证明是最有效的。这些策略的更广泛实施，同时资源更丰富的CR计划，可能会改善心脏病患者的连续护理。

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