Physician-Related Factors Affecting Cardiac Rehabilitation Referral

Background: Despite the positive impact of cardiac rehabilitation (CR) on quality of life and mortality, the majority of people who could benefit from this program fail to participate in it. The lack of referral from the physician is a common reason that patients give for not seeking CR. The objecti...

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Main Authors: Bahieh Moradi, Majid Maleki, Maryam Esmaeilzadeh, Hooman Bakhshandeh Abkenar
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2011-12-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/224
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spelling doaj-f2d0c126d52e4991b3c98cbce5f95f552020-11-25T04:00:15ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712011-12-0164222Physician-Related Factors Affecting Cardiac Rehabilitation ReferralBahieh Moradi0Majid Maleki1Maryam Esmaeilzadeh2Hooman Bakhshandeh Abkenar3Echocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Tehran UniversEchocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Tehran UniversEchocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Tehran UniversEchocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Tehran UniversBackground: Despite the positive impact of cardiac rehabilitation (CR) on quality of life and mortality, the majority of people who could benefit from this program fail to participate in it. The lack of referral from the physician is a common reason that patients give for not seeking CR. The objective of this study was to compare factors affecting CR referral by cardiologists. Methods: A cross-sectional survey of 122 cardiologists, including 89 general cardiac specialists and 33 fellows in cardiology from 11 major cardiology training centers in Iran, was done in 2010. They responded to the 14- item investigator-generated survey, examining the physician’s attitudinal and knowledge factors affecting CR referral. Results: 47.9% of the subjects reported having available CR centers but only 6.6% reported continuous medical education on the topic. 90.7% of the physicians reported that less than 15% of patients are referred to CR centers. The main factor affecting the low referral rate was limited general knowledge about CR programs (79.5%) such as program attributes and benefits, methods of reimbursement. Lack of insurance coverage, unavailability of CR centers in the community and low physicians’ fee were other factors reported by the physicians. Conclusion: Cardiologists’ inadequate general knowledge of and attitude toward CR programs seem to be a potential threat for cardiac prevention and rehabilitation in some societies. https://jthc.tums.ac.ir/index.php/jthc/article/view/224Cardiovascular diseasesRehabilitation centersReferral and ConsultationPhysicians
collection DOAJ
language English
format Article
sources DOAJ
author Bahieh Moradi
Majid Maleki
Maryam Esmaeilzadeh
Hooman Bakhshandeh Abkenar
spellingShingle Bahieh Moradi
Majid Maleki
Maryam Esmaeilzadeh
Hooman Bakhshandeh Abkenar
Physician-Related Factors Affecting Cardiac Rehabilitation Referral
Journal of Tehran University Heart Center
Cardiovascular diseases
Rehabilitation centers
Referral and Consultation
Physicians
author_facet Bahieh Moradi
Majid Maleki
Maryam Esmaeilzadeh
Hooman Bakhshandeh Abkenar
author_sort Bahieh Moradi
title Physician-Related Factors Affecting Cardiac Rehabilitation Referral
title_short Physician-Related Factors Affecting Cardiac Rehabilitation Referral
title_full Physician-Related Factors Affecting Cardiac Rehabilitation Referral
title_fullStr Physician-Related Factors Affecting Cardiac Rehabilitation Referral
title_full_unstemmed Physician-Related Factors Affecting Cardiac Rehabilitation Referral
title_sort physician-related factors affecting cardiac rehabilitation referral
publisher Tehran University of Medical Sciences
series Journal of Tehran University Heart Center
issn 1735-8620
2008-2371
publishDate 2011-12-01
description Background: Despite the positive impact of cardiac rehabilitation (CR) on quality of life and mortality, the majority of people who could benefit from this program fail to participate in it. The lack of referral from the physician is a common reason that patients give for not seeking CR. The objective of this study was to compare factors affecting CR referral by cardiologists. Methods: A cross-sectional survey of 122 cardiologists, including 89 general cardiac specialists and 33 fellows in cardiology from 11 major cardiology training centers in Iran, was done in 2010. They responded to the 14- item investigator-generated survey, examining the physician’s attitudinal and knowledge factors affecting CR referral. Results: 47.9% of the subjects reported having available CR centers but only 6.6% reported continuous medical education on the topic. 90.7% of the physicians reported that less than 15% of patients are referred to CR centers. The main factor affecting the low referral rate was limited general knowledge about CR programs (79.5%) such as program attributes and benefits, methods of reimbursement. Lack of insurance coverage, unavailability of CR centers in the community and low physicians’ fee were other factors reported by the physicians. Conclusion: Cardiologists’ inadequate general knowledge of and attitude toward CR programs seem to be a potential threat for cardiac prevention and rehabilitation in some societies.
topic Cardiovascular diseases
Rehabilitation centers
Referral and Consultation
Physicians
url https://jthc.tums.ac.ir/index.php/jthc/article/view/224
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