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Type: Journal article
Title: Broadening the reach of cardiac rehabilitation to rural and remote Australia
Author: Dollard, J.
Smith, J.
Thompson, D.
Stewart, S.
Citation: European Journal of Cardiovascular Nursing, 2004; 3(1):27-42
Publisher: Elsevier BV
Issue Date: 2004
ISSN: 1474-5151
Statement of
Joanne Dollard, Jacquie Smith, David R Thompson and Simon Stewart
Abstract: Background: Cardiac rehabilitation (CR) has an evidence base but traditional models may not readily apply to people living in rural and remote regions. Aim: To outline published comprehensive and non-hospital based CR models used for people discharged from hospital after a cardiac event that have potential relevance to those living in rural and remote areas in Australia. Methods: The PubMed database was searched using Medical subject headings (MeSH) terms and the key word ‘cardiac rehabilitation’ limited to clinical trials. Articles were retrieved if they included at least two components of CR and were not based in an outpatient setting. Results: No CR models specifically developed for rural and remote areas were identified. However, 14 studies were found that outlined 11 non-conventional comprehensive CR models. All provided CR in a home-based setting. Health professionals provided support via telephone contact or home visits, and via resources such as the Heart Manual. Reported outcomes from these CR programs varied: ranging from an increase in knowledge of risk factors, to improvements in physical activity, decreased risk factor profile, improved psychological and social functioning and reductions in health service costs and mortality. Conclusion: Home-based, CR models have the most substantive evidence base and, therefore the greatest potential to be developed and made accessible to eligible people living in rural and remote areas.
Keywords: Humans
Heart Diseases
Disease Progression
Activities of Daily Living
Risk Factors
Evidence-Based Medicine
Models, Organizational
Research Design
Social Support
Needs Assessment
Home Care Services
Rural Health Services
Health Services Research
Medically Underserved Area
Community-Institutional Relations
Health Services Accessibility
Description: Copyright © 2003 European Society of Cardiology. Published by Elsevier Science B. V.
DOI: 10.1016/j.ejcnurse.2003.10.002
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Appears in Collections:Aurora harvest 7
Nursing publications

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