Patients’ Care Transition in Cardiac Rehabilitation: A Scoping Review on Facilitators and Challenges Related to Referral and Enrolment

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maiken Bay Ravn, Claus Theilgaard Sevel, Charlotte Handberg, Charlotte Gjørup Pedersen, Thomas Maribo, Claus Vinther Nielsen
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Abstract

Background. Despite existing evidence on the efficacy of cardiac rehabilitation (CR), programs are underutilized. Factors affecting referral and enrolment in hospital-based CR were identified; however, research into factors affecting referral and enrolment in community-based CR is lacking. Aim. The purpose of this scoping review is to identify and synthesize facilitators and challenges in the transition of patient care from hospital to community healthcare services and how they influence CR referral and enrolment. Method. PubMed, Embase, CINAHL, Scopus, ProQuest, and Web of Science databases were searched for relevant publications. The data were analysed using thematic analysis by Braun and Clarke. The study followed the PRISMA extension for scoping reviews and the Joanna Briggs Institute’s model. Result. In total, 36 studies were included in this analysis. The results show that facilitators and challenges for referral and enrolment in CR form a complex interaction. Factors influencing referral and enrolment may be setting-dependent or -independent. However, each setting may influence the entire transition. Conclusion. The patient decision-making process regarding CR may begin in the hospital, indicating that this period is the right time to encourage CR enrolment. To support patient transition, healthcare professionals at hospitals require knowledge of CR and the ability to prioritize patient support. Offering an initial meeting at a local site may decrease patient prejudice and facilitate enrolment.

Abstract Image

心脏康复患者的护理过渡:与转诊和注册相关的促进因素和挑战范围综述
背景。尽管已有证据表明心脏康复(CR)具有疗效,但该项目仍未得到充分利用。研究发现了影响医院心脏康复项目转诊和注册的因素,但对影响社区心脏康复项目转诊和注册的因素却缺乏研究。目的。本范围综述旨在确定和总结患者护理从医院向社区医疗服务过渡过程中的促进因素和挑战,以及这些因素如何影响 CR 的转诊和注册。方法。在 PubMed、Embase、CINAHL、Scopus、ProQuest 和 Web of Science 数据库中搜索相关出版物。采用 Braun 和 Clarke 的专题分析方法对数据进行分析。该研究遵循了用于范围界定综述的 PRISMA 扩展和乔安娜-布里格斯研究所的模式。研究结果本次分析共纳入 36 项研究。结果表明,转诊和注册 CR 的促进因素和挑战形成了复杂的互动关系。影响转介和注册的因素可能与环境有关,也可能与环境无关。然而,每种环境都可能影响整个过渡过程。结论。患者对 CR 的决策过程可能始于医院,这表明这一时期是鼓励患者加入 CR 的合适时机。为了支持患者过渡,医院的医护人员需要了解 CR 的相关知识,并有能力优先为患者提供支持。在当地提供初次会面可能会减少患者的偏见,促进患者加入。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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