{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T14:17:06Z","timestamp":1784125026106,"version":"3.55.0"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T00:00:00Z","timestamp":1647475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To address access to cardiac rehabilitation (CR) for people in R&amp;R areas, this research aimed to investigate: (1) post discharge systems and support for people returning home from hospital following treatment for heart disease (HD). (2) propose changes to improve access to CR in R&amp;R areas of NQ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Four focus communities in R&amp;R areas of NQ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Focus communities\u2019 health staff (resident\/visiting) (57), community leaders (10) and community residents (44), discharged from hospital in past 5\u00a0years following treatment for heart disease (purposeful sampling).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative descriptive case study, with data collection via semi\u2010structured interviews. Inductive\/deductive thematic analysis was used to identify primary and secondary themes. Health service audit of selected communities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Health services in the focus communities included multipurpose health services, and primary health care centres staffed by resident and visiting staff that included nurses, Aboriginal and Torres Strait Islander Health Workers, medical officers, and allied health professionals. Post\u2010discharge health care for people with HD was predominantly clinical. Barriers to CR included low referrals to community\u2010based health professions by discharging hospitals; poorly defined referral pathways; lack of guidelines; inadequate understanding of holistic, multidisciplinary CR by health staff, community participants and leaders; limited centre\u2010based CR services; lack of awareness, or acceptance of telephone support services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To address barriers identified for CR in R&amp;R areas, health care systems\u2019 revision, including development of referral pathways to local health professionals, CR guidelines and in\u2010service education, is required to developing a model of care that focuses on self\u2010management and education: Heart: Road to Health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12861","type":"journal-article","created":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T14:06:10Z","timestamp":1647525970000},"page":"488-500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Cardiac rehabilitation in rural and remote areas of North Queensland: How well are we doing?"],"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 Healths Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1864-4552","authenticated-orcid":false,"given":"Richard C.","family":"Franklin","sequence":"additional","affiliation":[{"name":"College of Public Healths Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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 Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Ring","sequence":"additional","affiliation":[{"name":"Division of Tropical Health &amp; Medicine James Cook University  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8749-014X","authenticated-orcid":false,"given":"Peter A","family":"Leggat","sequence":"additional","affiliation":[{"name":"College of Public Healths Medical and Veterinary Sciences James Cook University  Townsville Queensland Australia"},{"name":"Faculty of Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,17]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"National Heart Foundation of Australia & Australian Cardiac Rehabilitation Association.Recommended framework for cardiac rehabilitation \u201904. 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