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Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care

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Giuliano, C, Parmenter, BJ, Baker, MK, Mitchell, BL, Williams, AD ORCID: 0000-0001-8863-3491, Lyndon, K, Mair, T, Maiorana, A, Smart, NA and Levinger, I 2017 , 'Cardiac Rehabilitation for Patients With Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes Through Continuity of Care' , Clinical Medicine Insights. Cardiology, vol. 11 , pp. 1-7 , doi: 10.1177/1179546817710028.

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Abstract

Coronary artery disease (CAD) is a leading cause of disease burden worldwide. Referral to cardiac rehabilitation (CR) is a classI recommendation for all patients with CAD based on findings that participation can reduce cardiovascular and all-cause mortality, as well asimprove functional capacity and quality of life. However, programme uptake remains low, systematic progression through the traditional CRphases is often lacking, and communication between health care providers is frequently suboptimal, resulting in fragmented care. Only 30%to 50% of eligible patients are typically referred to outpatient CR and fewer still complete the programme. In contemporary models of CR,patients are no longer treated by a single practitioner, but rather by an array of health professionals, across multiples specialities and healthcare settings. The risk of fragmented care in CR may be great, and a concerted approach is required to achieve continuity and optimise patientoutcomes. ‘Continuity of care’ has been described as the delivery of services in a coherent, logical, and timely fashion and which entails 3specific domains: informational, management, and relational continuity. This is examined in the context of CR.

Item Type: Article
Authors/Creators:Giuliano, C and Parmenter, BJ and Baker, MK and Mitchell, BL and Williams, AD and Lyndon, K and Mair, T and Maiorana, A and Smart, NA and Levinger, I
Keywords: cardiac rehabilitation, continuity of care, models of care
Journal or Publication Title: Clinical Medicine Insights. Cardiology
Publisher: SAGE Publications
ISSN: 1179-5468
DOI / ID Number: 10.1177/1179546817710028
Copyright Information:

© The Author(s) 2017. Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/

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