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Updated: Aug 5, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Racial disparities in access to cardiac rehabilitation
Patricia C Gregory1, Thomas A LaVeist, Crystal Simpson
1Department of Physical Medicine and Rehabilitation, University of North Carolina Chapel Hill, School of Medicine, Chapel Hill, North Carolina, USA.
American Journal of Physical Medicine & Rehabilitation
|August 23, 2006
Summary
Race independently impacts referral to cardiac rehabilitation programs. White patients were more likely to be referred than Black patients, indicating a disparity in access to these vital services.
Area of Science:
- Cardiology
- Health Disparities
- Health Services Research
Background:
- Cardiac rehabilitation (CR) improves outcomes for cardiac patients.
- Referral rates to CR vary significantly across different demographic groups.
- Understanding factors influencing CR referral is crucial for equitable care.
Purpose of the Study:
- To investigate the association between race and referral to cardiac rehabilitation among eligible patients.
- To identify if race remains a significant factor in CR referral after adjusting for other variables.
Main Methods:
- Analysis of 1933 eligible cardiac patients from the Cardiac Access Study (n=9275).
- Logistic regression was used to determine factors associated with CR referral.
- Controlled for age, education, socioeconomic status, and insurance.
Main Results:
- White patients had a higher likelihood of referral for CR compared to Black patients (OR=2.52).
- Race remained an independent predictor of CR referral even after adjusting for covariates (OR=1.81).
Conclusions:
- Race is an independent determinant of referral for cardiac rehabilitation among eligible patients.
- Disparities in CR utilization based on race may exacerbate unequal cardiac outcomes.
- Future research should focus on strategies to eliminate racial disparities and enhance CR referrals.
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