Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?
Patricia Field, Richard C Franklin, Ruth Barker and 2 others
PMID 35298054WHAT IT FOUND
People with heart disease in rural North Queensland generally left hospital without clear post-discharge cardiac rehabilitation.
Local staff said they were not receiving referrals, and telephone support was rarely used. Participants preferred face-to-face community care.
Key findings
01Community participants and health staff showed poor understanding of post-discharge cardiac rehabilitation care.
02There were no centre-based phase 2 cardiac rehabilitation programs in the focus communities, and participants were generally referred to the general practitioner.
03Telephone cardiac rehabilitation was seldom used, and staff questioned its suitability for remote and Aboriginal and Torres Strait Islander people.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for RNs
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What it does not show
This is qualitative case-study work, so it reports experiences and service gaps, not patient outcomes or tested effects of cardiac rehabilitation. The authors caution that the interviews do not account for all health staff views, and the findings may not apply beyond these rural and remote North Queensland communities. Discharge summaries, local services and staffing were changing rapidly during the study and the pandemic, so descriptions of available services may not be current. Community participant interviews were not checked back with participants, so wording and interpretation may not capture everyone's intended meaning. The study excluded organisations providing social support, such as women's and child care groups or sport and recreation, although the authors considered them important.
The easy way to misread this
Do not read the proposed Heart: Road to Health model as evidence that it improves cardiac rehabilitation access. The paper describes service gaps and participants' suggestions, not a tested intervention or patient outcomes.