YorkSpace has migrated to a new version of its software. Access our Help Resources to learn how to use the refreshed site. Contact diginit@yorku.ca if you have any questions about the migration.
 

Factors Affecting Cardiac Rehabilitation Referral by Physician Specialty

Simple item page
dc.contributor.authorStewart, Donna Eileen
dc.contributor.authorGrewal, Keerat
dc.contributor.authorGrace, Sherry L.
dc.date.accessioned2009-05-26T02:20:57Z
dc.date.available2009-05-26T02:20:57Z
dc.date.issued2008-07
dc.description.abstractPURPOSE: Cardiac rehabilitation (CR) is widely underutilized because of multiple factors including physician referral practices. Previous research has shown CR referral varies by type of provider, with cardiologists more likely to refer than primary care physicians. The objective of this study was to compare factors affecting CR referral in primary care physicians versus cardiac specialists. METHODS: A cross-sectional survey of a stratified random sample of 510 primary care physicians and cardiac specialists (cardiologists or cardiovascular surgeons) in Ontario identified through the Canadian Medical Directory Online was administered. One hundred four primary care physicians and 81 cardiac specialists responded to the 26- item investigator-generated survey examining medical, demographic, attitudinal, and health system factors affecting CR referral. RESULTS: Primary care physicians were more likely to endorse lack of familiarity with CR site locations (P<.001), lack of standardized referral forms (P<.001), inconvenience (P=.04), program quality (P=.004), and lack of discharge communication from CR (P=.001) as factors negatively impacting CR referral practices than cardiac specialists. Cardiac specialists were significantly more likely to perceive that their colleagues and department would regularly refer patients to CR than primary care physicians (P<.001). CONCLUSIONS: Where differences emerged, primary care physicians were more likely to perceive factors that would impede CR referral, some of which are modifiable. Marketing CR site locations, provision of standardized referral forms, and ensuring discharge summaries are communicated to primary care physicians may improve their willingness to refer to CR.en
dc.description.sponsorshipCIHR New Investigator award #MSH-80489
dc.description.sponsorshipCIHR New Investigator award #MSH-80489en
dc.identifier.citationJournal of Cardiopulmonary Rehabilitation and Prevention, 28(4), 248-252. Jul-Aug 2008
dc.identifier.urihttp://hdl.handle.net.ezproxy.library.yorku.ca/10315/2562
dc.identifier.urihttps://dx.doi.org/10.1097/01.HCR.0000327182.13875.07
dc.language.isoenen
dc.publisherLippincott, Williams & Wilkins
dc.subjectCardiac rehabilitation
dc.subjectReferral
dc.subjectPhysician
dc.titleFactors Affecting Cardiac Rehabilitation Referral by Physician Specialty
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Factors Affecting Cardiac Rehabilitation Referral by Physician Speciality.pdf
Size:
412.21 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.83 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

School of Kinesiology and Health Science

All items in the YorkSpace institutional repository are protected by copyright, with all rights reserved except where explicitly noted.