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. 2010 Nov;16(6):1196-205.
doi: 10.1016/j.healthplace.2010.08.004. Epub 2010 Aug 10.

Geographic issues in cardiac rehabilitation utilization: a narrative review

Yvonne W Leung  1 , Janette Brual, Alison Macpherson, Sherry L Grace
Affiliations

Geographic issues in cardiac rehabilitation utilization: a narrative review

Yvonne W Leung et al. Health Place. 2010 Nov.

Abstract

Objective: The purpose of this study was to review the current evidence regarding the relationship between geographic indicators and cardiac rehabilitation (CR) utilization among coronary heart disease (CHD) patients.

Results: Seventeen articles were identified for inclusion, where nine studies assessed rurality, 10 studies assessed travel time/distance, and two of these studies assessed both. Nine of the 17 studies (52.9%) showed a significant negative relationship between geographic barrier and CR use. Four of the 17 studies (23.5%) showed a null relationship, while four studies (23.5%) showed mixed findings. Inconsistent findings identified appeared to be related to restricted geographic range, regional density, and socioeconomic status.

Conclusions: Overall, 52.9% of the identified studies reported a significant negative relationship between geographic indicators and CR utilization. This relationship appeared to be particularly consistent in North American and Australian settings, but somewhat less so in the United Kingdom where there is greater population density and availability of public transport.

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Conflict of interest statement

Disclosure: There is no conflict of interest to disclose.

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References

    1. Ades PA. Cardiac rehabilitation and secondary prevention of coronary heart disease. New England Journal of Medicine. 2001;345(12):892–902. - PubMed
    1. Ades PA, Waldmann ML, McCann WJ, Weaver SO. Predictors of cardiac rehabilitation participation in older coronary patients. Archives of Internal Medicine. 1992;152(5):1033–1035. - PubMed
    1. Allen JK, Scott LB, Stewart KJ, Young DR. Disparities in women’s referral to and enrollment in outpatient cardiac rehabilitation. Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine. 2004;19(7):747–753. - PMC - PubMed
    1. Austin J, Williams R, Ross L, Moseley L, Hutchison S. Randomised controlled trial of cardiac rehabilitation in elderly patients with heart failure. European Journal of Heart Failure. 2005;7(3):411–417. - PubMed
    1. Blanchard CM, Courneya KS, Rodgers WM, Fraser SN, Murray TC, Daub B, Black B. Is the theory of planned behavior a useful framework for understanding exercise adherence during phase II cardiac rehabilitation? Journal of cardiopulmonary rehabilitation. 2003;23(1):29–39. - PubMed

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