An in-depth assessment of rural cardiac rehabilitation and secondary prevention services in WA

Research Team: Dr Sandra Hamilton, Belynda Mills and Prof Sandra Thompson

This in-depth assessment aims to map cardiac rehabilitation and secondary prevention (CRSP) services in Western Australia (WA). The findings will form the basis of further work investigating the processes and systems of referral to CRSP and a trial of alternative approaches to CRSP in rural and remote settings for Aboriginal and non-Aboriginal people.

Background

Cardiac rehabilitation (CR) is a coordinated multidimensional evidence-based strategy that aims to assist patients with cardiovascular disease (CVD) return to “an active and satisfying life and to prevent the recurrence of cardiac events”. Secondary prevention, is defined as “healthcare designed to prevent recurrence of cardiovascular events or complications of CVD in patients diagnosed with CVD”. Although these definitions are similar, CR may be time limited, whereas CRSP proposes a cardiac rehabilitation continuum where care is provided for the rest of a person’s life according to need.

This in-depth assessment aims to map cardiac CRSP services in WA. The findings will form the basis of further work investigating the processes and systems of referral to CRSP and a trial of alternative approaches to CRSP in rural and remote settings for Aboriginal and non-Aboriginal people.

This assessment will include Cardiac Rehabilitation and secondary cardiovascular prevention programs from the following agencies: WA Department of Health Metropolitan and West Australian Country Health Service (WACHS) programs (hospitals and community care); and Primary Care including Aboriginal Medical Services (AMS) programs.

Research questions

  1. What CRSP services are available in rural WA?
  2. What is the referral pathway for secondary cardiovascular prevention in WA?
  3. What is the attendance rate, what factors influence attendance or non-attendance at CRSP in rural WA and who attends?
  4. Are CRSP guidelines known and implemented in rural WA?
  5. What if any are the differences between metropolitan and rural CRSP in WA?

Aims

  • To map CRSP services in rural WA.
  • To map the referral pathways for secondary cardiovascular prevention in rural WA
  • To examine CRSP attendance in rural WA
  • To examine the knowledge of and implementation of CRSP guidelines in rural WA.
  • To compare rural CRSP services with metropolitan CRSP services.

 

 

 

 

 

 

 

 

 

 

 

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