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Cardiac rehabilitation services in Ontario: components, models and underserved groups.

https://arctichealth.org/en/permalink/ahliterature121697
Source
J Cardiovasc Med (Hagerstown). 2012 Nov;13(11):727-34
Publication Type
Article
Date
Nov-2012
Author
Peter A Polyzotis
Yongyao Tan
Peter L Prior
Paul Oh
Terry Fair
Sherry L Grace
Author Affiliation
York University, Faculty of Health, School of Kinesiology and Health Science, Toronto, Ontario, Canada.
Source
J Cardiovasc Med (Hagerstown). 2012 Nov;13(11):727-34
Date
Nov-2012
Language
English
Publication Type
Article
Keywords
Cardiology Service, Hospital - organization & administration
Cardiovascular Agents - therapeutic use
Community Health Services - organization & administration
Comorbidity
Cross-Sectional Studies
Delivery of Health Care, Integrated - organization & administration
Depression - diagnosis - epidemiology
Exercise Therapy - organization & administration
Guideline Adherence
Health Care Rationing - organization & administration
Health Care Surveys
Health Knowledge, Attitudes, Practice
Health Services Accessibility - organization & administration
Health Services Needs and Demand - organization & administration
Heart Diseases - epidemiology - rehabilitation
Home Care Services, Hospital-Based - organization & administration
Humans
Models, organizational
Ontario - epidemiology
Patient Education as Topic - organization & administration
Practice Guidelines as Topic
Questionnaires
Risk factors
Rural health services - organization & administration
Vulnerable Populations
Abstract
Cardiac rehabilitation programs develop in accordance with guidelines, but also in response to local needs and resources. This study evaluated features of Ontario cardiac rehabilitation programs in accordance with guidelines, emerging evidence and treating underserved populations.
In this cross-sectional study, all Ontario cardiac rehabilitation programs were mailed an investigator-generated survey. Responses were received from 38 of 45 (84.4%) programs.
Twenty-seven (71.1%) cardiac rehabilitation programs were located within a hospital. Twenty-four (63.2%) programs reported that they offer two sessions of exercise and education per week. Twenty-six (68.4%) programs offered an alternative model of program delivery other than on-site, with 10 (27.0%) programs reporting they tailored their programs to rural patients. Twenty-three (62.2%) programs provided services to patients with a noncardiac primary indication. Twenty-six (68.4%) programs systematically screened patients for depressive symptoms. Twenty-seven (71.1%) offered resources to patients postgraduation.
Most cardiac rehabilitation programs offered alternative models of care, such as home-based rehabilitation. Cardiac rehabilitation sites are well integrated within their community, enabling smooth postcardiac rehabilitation transitions for patients. Cardiac rehabilitation programs continue to offer proven comprehensive components, while simultaneously attempting to adapt to meet the needs of patients with other chronic diseases.
PubMed ID
22885529 View in PubMed
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Posttraumatic growth in coronary artery disease outpatients: relationship to degree of trauma and health service use.

https://arctichealth.org/en/permalink/ahliterature126272
Source
J Psychosom Res. 2012 Apr;72(4):293-9
Publication Type
Article
Date
Apr-2012
Author
Yvonne W Leung
David A Alter
Peter L Prior
Donna E Stewart
Jane Irvine
Sherry L Grace
Author Affiliation
York University, Canada. yvonnewleung@gmail.com
Source
J Psychosom Res. 2012 Apr;72(4):293-9
Date
Apr-2012
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Aged
Ambulatory Care
Cohort Studies
Continuity of Patient Care
Coronary Artery Disease - prevention & control - psychology - rehabilitation
Female
Health Services - utilization
Humans
Male
Middle Aged
Ontario
Personality Development
Prospective Studies
Recurrence - prevention & control
Sick Role
Stress Disorders, Post-Traumatic - diagnosis - psychology
Utilization Review
Abstract
Posttraumatic growth (PTG) is frequently reported after the strike of a serious medical illness. The current study sought to: 1) assess the relationship between degree of cardiac "threat" and PTG one-year post-hospitalization; and 2) to explore the association between PTG and healthcare utilization.
In a cohort study, 2636 cardiac inpatients from 11 Ontario hospitals completed a sociodemographic survey; clinical data were extracted from charts. One year later, 1717 of these outpatients completed a postal survey, which assessed PTG and healthcare utilization. Morbidity data were obtained retrospectively through probabilistic linkage to administrative data. The predicted risk of recurrent events for each participant was calculated using a logistic regression model, based on participants' sociodemographic and clinical characteristics. The relationship among PTG, trauma and health service use was examined with multiple regression models.
Greater PTG was significantly related to greater predicted risk of recurrent events (p
PubMed ID
22405224 View in PubMed
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