'I don't know why they don't come': Barriers to participation in cardiac rehabilitation

DiGiacomo, ML; Thompson, SC; Smith, JS; Taylor, KP; Dimer, LA; Ali, MA; Wood, MM; Leahy, TG; Davidson, PM

'I don't know why they don't come': Barriers to participation in cardiac rehabilitation

DiGiacomo, ML

Thompson, SC Smith, JS Taylor, KP Dimer, LA Ali, MA Wood, MM Leahy, TG Davidson, PM

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Publication Type:: Journal Article
Citation:: Australian Health Review, 2010, 34 (4), pp. 452 - 457
Issue Date:: 2010-12-07

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Field	Value	Language
dc.contributor.author	DiGiacomo, ML https://orcid.org/0000-0001-5484-8224	en_US
dc.contributor.author	Thompson, SC	en_US
dc.contributor.author	Smith, JS	en_US
dc.contributor.author	Taylor, KP	en_US
dc.contributor.author	Dimer, LA	en_US
dc.contributor.author	Ali, MA	en_US
dc.contributor.author	Wood, MM	en_US
dc.contributor.author	Leahy, TG	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.date.available	2010-03-09	en_US
dc.date.issued	2010-12-07	en_US
dc.identifier.citation	Australian Health Review, 2010, 34 (4), pp. 452 - 457	en_US
dc.identifier.issn	0156-5788	en_US
dc.identifier.uri	http://hdl.handle.net/10453/17082
dc.description.abstract	Objectives. To describe health professionals' perceptions of Aboriginal people's access to cardiac rehabilitation (CR) services and the role of institutional barriers in implementing the National Health and Medical Research Council (NHMRC) guidelines Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander peoples. Design. Qualitative study. Setting. Metropolitan and rural tertiary and community-based public CR services and Aboriginal health services in WA. Participants. Thirty-eight health professionals working in the CR setting. Method. Semistructured interviews were undertaken with 28 health professionals at public CR services and 10 health professionals from Aboriginal Medical Services in WA. The participants represented 17 services (10 rural, 7 metropolitan) listed in the WA Directory of CR services. Results. Emergent themes included (1) a lack of awareness of Aboriginal CR patients' needs; (2) needs related to cultural awareness training for health professionals; and (3) Aboriginal health staff facilitate access for Aboriginal patients. Conclusions. Understanding the institutional barriers to Aboriginal participation in CR is necessary to recommend viable solutions. Promoting cultural awareness training, recruiting Aboriginal health workers and monitoring participation rates are important in improving health outcomes. © AHHA 2010.	en_US
dc.relation.ispartof	Australian Health Review	en_US
dc.relation.isbasedon	10.1071/AH09803	en_US
dc.subject.classification	Health Policy & Services	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Heart Diseases	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Oceanic Ancestry Group	en_US
dc.subject.mesh	Health Promotion	en_US
dc.subject.mesh	Health Services, Indigenous	en_US
dc.subject.mesh	Health Services Accessibility	en_US
dc.subject.mesh	Patient Acceptance of Health Care	en_US
dc.subject.mesh	Western Australia	en_US
dc.subject.mesh	Cultural Competency	en_US
dc.subject.mesh	Health Status Disparities	en_US
dc.title	'I don't know why they don't come': Barriers to participation in cardiac rehabilitation	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	34	en_US
utslib.for	1605 Policy and Administration	en_US
dc.location.activity	ISI:000284587500014	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 Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	open_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	34	en_US

Abstract:

Objectives. To describe health professionals' perceptions of Aboriginal people's access to cardiac rehabilitation (CR) services and the role of institutional barriers in implementing the National Health and Medical Research Council (NHMRC) guidelines Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander peoples. Design. Qualitative study. Setting. Metropolitan and rural tertiary and community-based public CR services and Aboriginal health services in WA. Participants. Thirty-eight health professionals working in the CR setting. Method. Semistructured interviews were undertaken with 28 health professionals at public CR services and 10 health professionals from Aboriginal Medical Services in WA. The participants represented 17 services (10 rural, 7 metropolitan) listed in the WA Directory of CR services. Results. Emergent themes included (1) a lack of awareness of Aboriginal CR patients' needs; (2) needs related to cultural awareness training for health professionals; and (3) Aboriginal health staff facilitate access for Aboriginal patients. Conclusions. Understanding the institutional barriers to Aboriginal participation in CR is necessary to recommend viable solutions. Promoting cultural awareness training, recruiting Aboriginal health workers and monitoring participation rates are important in improving health outcomes. © AHHA 2010.

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http://hdl.handle.net/10453/17082