{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:15:03Z","timestamp":1765808103133,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To focus on the needs, challenges and opportunities to improve access to cardiac rehabilitation (CR) (Heart: Road to health [HRH]) for Aboriginal and Torres Strait Islander peoples in rural and remote (R&amp;R) areas of North Queensland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Context<\/jats:title><jats:p>It is known that there is insufficient access to HRH for Aboriginal and Torres Strait Islander peoples in R&amp;R areas of NQ, who have the highest rates of heart disease and socioeconomic disadvantage mainly due to poor social determinants of health. However, at least in part due to the impact of colonialism and predominantly western medicalised approach to health care, few gains have been made.<\/jats:p><\/jats:sec><jats:sec><jats:title>Approach<\/jats:title><jats:p>This commentary draws on recent research and literature and reflects on cultural issues that impact on improving access to an HRH for Aboriginal and Torres Strait Islander peoples in R&amp;R areas. The underutilisation of the skills of Aboriginal and Torres Strait Islander Health Workers (ATSIHW) and a lack of a defined process to ensure access to culturally responsive HRH are discussed. Finally, a way forward is proposed that includes the development of policies, pathways and guidelines to ensure that appropriate support is available in the client's home community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is proposed that culturally responsive, accessible and effective HRH is achievable through the reorientation of current health systems that include a continuous client\u2010centred pathway from hospital to home. In this model, ATSIHW will take a lead or partnership role in which their clinical, cultural brokerage and health promotion skills are fully utilised.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12932","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T15:20:22Z","timestamp":1665415222000},"page":"152-158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Commentary: Improving access to cardiac rehabilitation (Heart: Road for health) for Aboriginal and Torres Strait Islander peoples in rural and remote areas of North Queensland"],"prefix":"10.1111","volume":"31","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 Queensland 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 Queensland 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 Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Ring","sequence":"additional","affiliation":[{"name":"Division of Tropical Health &amp; Medicine James Cook University  Townsville Queensland 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 Queensland Australia"},{"name":"Faculty of Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla","family":"Canuto","sequence":"additional","affiliation":[{"name":"Rural and Remote Health Flinders University  Darwin Northwest Territories Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Australian Institute of Health and Welfare.Trends in coronary heart disease mortality: age groups and populations. 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