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

© 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...

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Main Authors: Giuliano, C., Parmenter, B., Baker, M., Mitchell, B., Williams, A., Lyndon, K., Mair, T., Maiorana, Andrew, Smart, N., Levinger, I.
Format: Journal Article
Published: Libertas Academica Ltd. 2017
Online Access:http://hdl.handle.net/20.500.11937/67637
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author Giuliano, C.
Parmenter, B.
Baker, M.
Mitchell, B.
Williams, A.
Lyndon, K.
Mair, T.
Maiorana, Andrew
Smart, N.
Levinger, I.
author_facet Giuliano, C.
Parmenter, B.
Baker, M.
Mitchell, B.
Williams, A.
Lyndon, K.
Mair, T.
Maiorana, Andrew
Smart, N.
Levinger, I.
author_sort Giuliano, C.
building Curtin Institutional Repository
collection Online Access
description © 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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spelling curtin-20.500.11937-676372018-05-18T08:06:38Z Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care Giuliano, C. Parmenter, B. Baker, M. Mitchell, B. Williams, A. Lyndon, K. Mair, T. Maiorana, Andrew Smart, N. Levinger, I. © 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. 2017 Journal Article http://hdl.handle.net/20.500.11937/67637 10.1177/1179546817710028 Libertas Academica Ltd. restricted
spellingShingle Giuliano, C.
Parmenter, B.
Baker, M.
Mitchell, B.
Williams, A.
Lyndon, K.
Mair, T.
Maiorana, Andrew
Smart, N.
Levinger, I.
Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care
title Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care
title_full Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care
title_fullStr Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care
title_full_unstemmed Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care
title_short Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care
title_sort cardiac rehabilitation for patients with coronary artery disease: a practical guide to enhance patient outcomes through continuity of care
url http://hdl.handle.net/20.500.11937/67637