{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:13:15Z","timestamp":1765807995712,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T00:00:00Z","timestamp":1640044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess implementation of in\u2010patient cardiac rehabilitation (Phase\u20101\u2010cardiac rehabilitation), impact on people in rural and remote areas of Australia and potential methods for addressing identified weaknesses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Exploratory case study methodology using qualitative and quantitative methods. Qualitative data collection via semi\u2010structured interviews, using thematic analysis, augmented by quantitative data collection via a medical record audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Four regional hospitals (2 Queensland Health and 2 private) providing tertiary health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>(a) Hospital in\u2010patients with heart disease \u226518\u00a0years. (b) Staff responsible for their care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome Measures<\/jats:title><jats:p>Implementation of Phase\u20101\u2010cardiac rehabilitation in tertiary hosptials in North Queensland and the impact on in\u2010patients discharge planning and post discharge care. Recommentations and implications for practice are proposed to address deficits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Phase\u20101\u2010cardiac rehabilitation implementation rates, in\u2010patient understanding and multidisciplinary team involvement were low. The highest rates of Phase\u20101\u2010cardiac rehabilitation were for in\u2010patients with a length of stay three days or more\u00a0 in cardiac units with cardiac educators. Rates were lower in cardiac units with no cardiac educators, and lowest for in\u2010patients in all areas of all hospitals with length of stay of two days or less\u00a0days. Low Phase\u20101\u2010cardiac rehabilitation implementation rates resulted in poor in\u2010patient understanding about their disease, treatment and post\u2010discharge care. Further, medical discharge summaries rarely mentioned cardiac rehabilitation\/secondary prevention or risk factor management resulting in a lack of information for health care providers on cardiac rehabilitation and holistic health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Implementation of Phase\u20101\u2010cardiac rehabilitation in regional hospitals in this study fell short of recommended best practice, resulting in patients' poor preparation for discharge, and insufficient information on holistic care for health care providers in rural and remote areas. These factors potentially impact on holistic care for people returning home following treatment for heart disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12818","type":"journal-article","created":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T17:40:57Z","timestamp":1640108457000},"page":"149-163","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Importance of cardiac rehabilitation in rural and remote areas of Australia"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8143-6081","authenticated-orcid":false,"given":"Patricia","family":"Field","sequence":"first","affiliation":[{"name":"College of Public Health, Medicine and Veterinary Sciences James Cook University  Townsville QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard C.","family":"Franklin","sequence":"additional","affiliation":[{"name":"College of Public Health, Medicine and Veterinary Sciences James Cook University  Townsville QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2546-2581","authenticated-orcid":false,"given":"Ruth","family":"Barker","sequence":"additional","affiliation":[{"name":"College of Healthcare Sciences James Cook University  Cairns QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Ring","sequence":"additional","affiliation":[{"name":"Division of Tropical Health &amp; Medicine James Cook University  Townsville QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Leggat","sequence":"additional","affiliation":[{"name":"College of Public Health, Medicine and Veterinary Sciences James Cook University  Townsville QLD Australia"},{"name":"Faculty of Health Sciences Flinders University  Adelaide QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla","family":"Canuto","sequence":"additional","affiliation":[{"name":"College of Public Health, Medicine and Veterinary Sciences James Cook University  Townsville QLD Australia"},{"name":"South Australian Health and Medical Research Institute Wardliparingga Aboriginal Health Equity  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,21]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Institute of Health and WelfareRural & remote health. 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