Facilitating or getting in the way? the effect of clinicians' knowledge, values and beliefs on referral and participation

Gallagher, R; Neubeck, L; Du, H; Astley, C; Berry, NM; Hill, MN; Clark, R

Facilitating or getting in the way? the effect of clinicians' knowledge, values and beliefs on referral and participation

Gallagher, R

Neubeck, L Du, H Astley, C Berry, NM Hill, MN Clark, R

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Publication Type:: Journal Article
Citation:: European Journal of Preventive Cardiology, 2016, 23 (11), pp. 1141 - 1150
Issue Date:: 2016-07-01

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Field	Value	Language
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	Neubeck, L	en_US
dc.contributor.author	Du, H	en_US
dc.contributor.author	Astley, C	en_US
dc.contributor.author	Berry, NM	en_US
dc.contributor.author	Hill, MN	en_US
dc.contributor.author	Clark, R https://orcid.org/0000-0002-5063-2618	en_US
dc.date.available	2016-01-12	en_US
dc.date.issued	2016-07-01	en_US
dc.identifier.citation	European Journal of Preventive Cardiology, 2016, 23 (11), pp. 1141 - 1150	en_US
dc.identifier.issn	2047-4873	en_US
dc.identifier.uri	http://hdl.handle.net/10453/122915
dc.description.abstract	© 2016 European Society of Cardiology. Background Despite the compelling evidence of the benefits of cardiac rehabilitation (CR) on risk factor modification, quality of life and mortality reduction, a significant proportion of eligible patients are not referred or do not participate. Factors influencing CR referral and participation are complex and are likely patient, referral system and clinician-related. Little is known about clinician-related factors, which include attitudes, values and beliefs towards CR, or how these factors affect patient referral and attendance. This review examines the current evidence in the literature in relation to clinicians' attitudes, values and beliefs about CR. Methods A review of the literature was conducted on studies in relation to clinicians' attitudes, values and beliefs toward CR. An expert consensus methodology was used to develop the concepts presented in this paper. Results Besides guidelines, a range of other factors influence clinicians' view about CR. This review suggests that clinicians lacking cardiac qualifications may have limited knowledge and awareness of CR and its benefits. Low agreement among clinicians on who is more likely to benefit from CR was also identified. Clinicians' personal lifestyle and health belief, the availability and quality of local the CR programme, and the lack of a standard administrative process of referral can also hinder the referral of patients to CR. Conclusions Clinician-related factors are important to consider in relation to CR referral and participation. Education for clinicians, discussion of local services and the support of an efficacious system at programme and organisation levels are essential.	en_US
dc.relation.ispartof	European Journal of Preventive Cardiology	en_US
dc.relation.isbasedon	10.1177/2047487316630085	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Patient Participation	en_US
dc.subject.mesh	Referral and Consultation	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Cardiac Rehabilitation	en_US
dc.title	Facilitating or getting in the way? the effect of clinicians' knowledge, values and beliefs on referral and participation	en_US
dc.type	Journal Article
utslib.citation.volume	11	en_US
utslib.citation.volume	23	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/School of Education
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	11	en_US
pubs.publication-status	Published	en_US
pubs.volume	23	en_US

Abstract:

© 2016 European Society of Cardiology. Background Despite the compelling evidence of the benefits of cardiac rehabilitation (CR) on risk factor modification, quality of life and mortality reduction, a significant proportion of eligible patients are not referred or do not participate. Factors influencing CR referral and participation are complex and are likely patient, referral system and clinician-related. Little is known about clinician-related factors, which include attitudes, values and beliefs towards CR, or how these factors affect patient referral and attendance. This review examines the current evidence in the literature in relation to clinicians' attitudes, values and beliefs about CR. Methods A review of the literature was conducted on studies in relation to clinicians' attitudes, values and beliefs toward CR. An expert consensus methodology was used to develop the concepts presented in this paper. Results Besides guidelines, a range of other factors influence clinicians' view about CR. This review suggests that clinicians lacking cardiac qualifications may have limited knowledge and awareness of CR and its benefits. Low agreement among clinicians on who is more likely to benefit from CR was also identified. Clinicians' personal lifestyle and health belief, the availability and quality of local the CR programme, and the lack of a standard administrative process of referral can also hinder the referral of patients to CR. Conclusions Clinician-related factors are important to consider in relation to CR referral and participation. Education for clinicians, discussion of local services and the support of an efficacious system at programme and organisation levels are essential.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/122915