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

    Access Status
    Fulltext not available
    Authors
    Giuliano, C.
    Parmenter, B.
    Baker, M.
    Mitchell, B.
    Williams, A.
    Lyndon, K.
    Mair, T.
    Maiorana, Andrew
    Smart, N.
    Levinger, I.
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Giuliano, C. and Parmenter, B. and Baker, M. and Mitchell, B. and Williams, A. and Lyndon, K. and Mair, T. et al. 2017. Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care. Clinical Medicine Insights: Cardiology. 11.
    Source Title
    Clinical Medicine Insights: Cardiology
    DOI
    10.1177/1179546817710028
    ISSN
    1179-5468
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/67637
    Collection
    • Curtin Research Publications
    Abstract

    © 2017, © The Author(s) 2017. 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.

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