Referral to Cardiac Rehabilitation among Rural Heart Failure Patients
Received Date: Oct 04, 2017 / Accepted Date: Oct 18, 2017 / Published Date: Oct 23, 2017
Purpose: Determine how rural heart failure patients are referred for outpatient cardiac rehabilitation. This study examined individual and system challenges to cardiac rehabilitation referral.
Methods: This was a prospective study from a single site tertiary care hospital. The primary outcome was to determine how study subjects were referred to cardiac rehabilitation. A secondary outcome was the elicited individual characteristic differences among subjects.
Findings: Sixty-one patients were included in the study, 43 males and 18 females (67 ± 9.37 y). There was a statistically significant difference in who initiated the referral to cardiac rehabilitation depending upon diagnosis code (p<0.001). If CAD or heart surgery was the diagnosis code utilized, mid-level providers initiated the referral; however, if heart failure was the primary, cardiac rehabilitation staff initiated the referral. Secondary findings demonstrated not all heart failure patients were managed by cardiologists, low socioeconomic status, and illiteracy.
Conclusions: A multidisciplinary approach is warranted, especially inpatient cardiac rehabilitation staff, to ensure referral to outpatient cardiac rehabilitation among rural heart failure patients.
Keywords: Health disparities; Health services research; Geography
Citation: Beck A (2017) Referral to Cardiac Rehabilitation among Rural Heart Failure Patients. J Card Pulm Rehabil 1: 115.
Copyright: © 2017 Beck A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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