Iyngkaran, P.; Appuhamilage, P.Y.; Patabandige, G.; Sarathchandra Peru Kandage, P.S.; Usmani, W.; Hanna, F. Barriers to Cardiac Rehabilitation among Patients Diagnosed with Cardiovascular Diseases—A Scoping Review. Int. J. Environ. Res. Public Health2024, 21, 339.
Iyngkaran, P.; Appuhamilage, P.Y.; Patabandige, G.; Sarathchandra Peru Kandage, P.S.; Usmani, W.; Hanna, F. Barriers to Cardiac Rehabilitation among Patients Diagnosed with Cardiovascular Diseases—A Scoping Review. Int. J. Environ. Res. Public Health 2024, 21, 339.
Iyngkaran, P.; Appuhamilage, P.Y.; Patabandige, G.; Sarathchandra Peru Kandage, P.S.; Usmani, W.; Hanna, F. Barriers to Cardiac Rehabilitation among Patients Diagnosed with Cardiovascular Diseases—A Scoping Review. Int. J. Environ. Res. Public Health2024, 21, 339.
Iyngkaran, P.; Appuhamilage, P.Y.; Patabandige, G.; Sarathchandra Peru Kandage, P.S.; Usmani, W.; Hanna, F. Barriers to Cardiac Rehabilitation among Patients Diagnosed with Cardiovascular Diseases—A Scoping Review. Int. J. Environ. Res. Public Health 2024, 21, 339.
Abstract
Background: Cardiovascular diseases (CVDs) are a rising global burden. Preventative strategies such as Cardiac Rehabilitation (CR) have shown a marked reduction of disease burden. Despite this, CR is underutilized worldwide. This study aims to identify the barriers to CR among patients diagnosed with CVD.
Methods: A scoping review of the literature was conducted following the Joanna Briggs Institute (JBI) guidelines. Three major databases including CINAHL, PubMed, EBSCOhost and Scopus were used to obtain studies published between 2010 and 2023. Search terms such as “Cardiac rehab*”, “Barrier*”, “Cardiovascular”, “Disease” And “diagnosis*” Were utilized in order to obtain subject-specific studies relevant to the research question.
Results: From the initial 2098 studies only 14 were included in the final analysis, consisting of both qualitative and quantitative designs. The thematic analysis included “healthcare system-related factors”, “Socioeconomic factors”, and “individual characteristics”. Healthcare system-related factors were mostly related to poor availability of CR programs, lack of proper referral strategies, inadequate knowledge of CR provider and inter-provider communication issues, and lack of alternative methods of CR delivery. Socioeconomic barriers were lack of education, longer distance to CR facilities, high cost of care, unemployment, and poor income status. Identified individual characteristics were female gender, older age, and comorbidities.
Conclusion: Lack of resources, poor access, educational attainment, and high cost of care were some of the barriers to CR, particularly in low and middle-income countries (LMICs). Health policymakers and healthcare providers should implement strategies incorporating issues identified in this scoping review. Systematic reviews may be required to confirm these findings.
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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