Patient preferences for the delivery of cardiac rehabilitation

PATIENT EDUCATION AND COUNSELING

卷:101

Article

Boyde, Mary^1,2  Rankin, Jenny³  Whitty, Jennifer A.^2,3  Peters, Robyn^1,2  Holliday, Julie¹  Baker, Charmaine¹  Hwang, Rita^2,5  Lynagh, Donna⁴  Korczyk, Dariusz^1,2 

[1] Princess Alexandra Hosp, Cardiol, Brisbane, Qld, Australia

[2] Univ Queensland, Brisbane, Qld, Australia

[3] Univ East Anglia, Norwich Med Sch, Hlth Econ Grp, Norwich, Norfolk, England

[4] Metro South Med & Chron Dis Hlth, Brisbane, Qld, Australia

[5] Physiotherapy Princess Alexandra Hosp, Brisbane, Qld, Australia

关键词: Cardiac rehabilitation;    Patient preferences;    Discrete choice experiment;   

DOI  :  10.1016/j.pec.2018.07.010

来源: Elsevier

【 摘 要 】

Objective: To elicit patients' preferences for cardiac rehabilitation(CR). Methods: A Discrete Choice Experiment was used to quantify patients' preferences for the delivery of CR. This survey-based method elicited the relative importance of different characteristics of a program. Results: 200 in patients eligible to attend CR completed the survey. Over half of the patients strongly preferred a centre-based compared to a home-based program. Many but not all preferred a program starting within two rather than six weeks of discharge and exercise delivered in a group rather than individual setting, with exercise via the internet using telehealth strongly disliked. Some respondents preferred lifestyle information delivered one-to-one by a health professional, and there was an overall preference against delivery by smart phone Apps. Some preferred a program out of rather than within working hours and a shorter program (four weeks compared to eight weeks). Conclusions: This study provides further insight into patient preferences for a CR program. Although the strongest preferences were for centre-based programs with healthcare professionals facilitating exercise classes and one-on-one education, it is important to offer flexible delivery as one approach will not suit everyone. Practice Implications: There is the potential to improve CR programs by focusing on patient preferences. (C) 2018 Elsevier B.V. All rights reserved.

【 授权许可】

Free