Cardiac rehabilitation services in New Zealand: Access and utilisation

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dc.contributor.author Doolan-Noble, F en
dc.contributor.author Broad, Joanna en
dc.contributor.author Riddell, Tania en
dc.contributor.author North, D en
dc.date.accessioned 2013-06-26T03:41:14Z en
dc.date.issued 2004 en
dc.identifier.citation New Zealand Medical Journal 117(1197) 2004 en
dc.identifier.issn 1175-8716 en
dc.identifier.uri http://hdl.handle.net/2292/20558 en
dc.description.abstract Aim To identify factors associated with patient referral to, uptake of, and completion of cardiac rehabilitation programmes in New Zealand. Methods Information was collected on referrals to cardiac rehabilitation during February 2002. Routinely collected hospitalisation data were obtained for men and women aged over 35 years with specified coronary episodes. The data were merged, and four predictive logistic regression models developed. Results There were 2001 people either hospitalised or referred to cardiac rehabilitation. Of the 1696 hospitalised, 36% were referred for rehabilitation. After adjusting for ethnicity, women were less likely to be referred: odds ratio (OR)=0.72 [95% confidence interval (CI) 0.57–0.91]. With each 10-year age increase, there was a lower likelihood of referral (OR=0.74; 95%CI 0.67–0.82). Of those people who were referred to inpatient rehabilitation, 83% were referred to an outpatient programme. Lack of access to transport was associated with reduced likelihood of referral (OR=0.44 95%; CI 0.28–0.70) and with attendance (OR=0.54; 95%CI 0.33–0.88). Those who had previously attended a cardiac rehabilitation programme were significantly more likely to attend, and compared to those aged 65 to 74 years, those older or younger were less likely to complete the programme. Some associations with deprivation were found, but none with ethnicity. Conclusion This study demonstrated considerable scope for improvement in referral to, uptake of and completion of cardiac rehabilitation programmes in New Zealand. It highlighted the need to improve referral processes, promotion, provision, delivery and monitoring of cardiac rehabilitation services. en
dc.description.uri http://www.nzma.org.nz/ en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from: http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Cardiac rehabilitation services in New Zealand: Access and utilisation en
dc.type Journal Article en
pubs.issue 1197 en
pubs.volume 117 en
dc.identifier.pmid 15326508 en
pubs.author-url http://www.nzma.org.nz/journal/read-the-journal/all-issues/2000-2009/2004 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 44951 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 15326508 en


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