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Rural residents' use of cardiac rehabilitation programs
J E Johnson1, C Weinert, J K Richardson
1Orvis School of Nursing, University of Nevada, Reno 89557, USA.
Public Health Nursing (Boston, Mass.)
|July 31, 1998
Summary
Few rural residents utilize cardiac rehabilitation services, with only 17% completing the program. Predisposing, enabling, and need factors significantly influence participation in cardiac rehabilitation for rural populations.
Area of Science:
- Cardiology
- Health Services Research
- Rural Health
Background:
- Cardiac rehabilitation (CR) is crucial for post-cardiac event recovery.
- Rural populations face unique barriers to accessing healthcare services, including CR.
Purpose of the Study:
- To identify factors influencing the utilization of CR services among rural residents.
- To apply the Andersen-Newman framework to understand CR service use.
Main Methods:
- A longitudinal study surveyed 254 rural adults post-cardiac event across three time points.
- Data collection utilized unique instrument packets at discharge, two weeks post-discharge, and program completion.
- The Andersen-Newman framework guided the assessment of predisposing, enabling, and need factors.
Main Results:
- Only 28% attended any CR, and 17% completed the full program.
- Four predisposing, one enabling, and two need factors significantly explained the number of CR sessions attended.
- Significant factors require further validation in rural cardiac populations.
Conclusions:
- Specific predisposing, enabling, and need factors impact CR service utilization in rural areas.
- Further research is necessary to validate identified factors and explore others.
- Alternative CR delivery models are needed for rural cardiac patients.
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