Provision, uptake and cost of cardiac rehabilitation programmes: improving services to under-represented groups
Beswick A D, Rees K, Griebsch I, Taylor F C, Burke M, West R R, et al
Record ID 32004000812
English
Authors' objectives:
The objectives of this study were: - To estimate UK population need and update estimates of cardiac rehabilitation provision. - To identify patient groups not receiving cardiac rehabilitation. - To review effectiveness of methods to improve uptake and adherence to cardiac rehabilitation. - To estimate cost implications of increasing uptake of cardiac rehabilitation.
Authors' recommendations:
- Provision of outpatient cardiac rehabilitation in the UK is low, well below the National Service Framework for Coronary Heart Disease goal of 85% of patients with acute myocardial infarction and following revascularisation being offered outpatient cardiac rehabilitation.
- Information on referral to and uptake of cardiac rehabilitation is incomplete, with widely varying estimates of provision, particularly in under-represented groups. Little is known about the capacity of cardiac rehabilitation centres to increase provision.
- There is an uncoordinated approach to audit data collection.
- Reasons reported by patients for non-attendance are amenable to intervention, but few interventions have been formally evaluated.
- Many interventions aimed at improving patient uptake, adherence and professional compliance with guidelines and good practice have been proposed, but few have been formally evaluated.
- Motivational communications and trained lay volunteers may improve uptake of cardiac rehabilitation.
- Self-management techniques may help to promote lifestyle change associated with cardiac rehabilitation.
- Information on costs of interventions is frequently not reported.
- Experience of low-cost interventions and good practice exists within rehabilitation centres.
- Increased provision of outpatient cardiac rehabilitation will require extra resources.
Authors' methods:
Systematic review, Survey
Details
Project Status:
Completed
URL for project:
http://www.hta.ac.uk/1206
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Cost-Benefit Analysis
- Female
- Male
- Needs Assessment
- Patient Compliance
- Randomized Controlled Trials as Topic
- Referral and Consultation
- Sex Factors
- Myocardial Ischemia
Contact
Organisation Name:
NIHR Health Technology Assessment programme
Contact Address:
NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name:
journals.library@nihr.ac.uk
Contact Email:
journals.library@nihr.ac.uk
Copyright:
2009 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.