Barriers to Cardiac Rehabilitation among Patients Diagnosed with Cardiovascular Diseases—A Scoping Review

Pupalan Iyngkaran, Pavithra Yapa Appuhamilage, Gayani Patabandige, Prasadi Saubhagya Sarathchandra Peru Kandage, Wania Usmani and Fahad Hanna ()
Additional contact information
Pupalan Iyngkaran: Torrens University Australia, Melbourne, VIC 3000, Australia
Pavithra Yapa Appuhamilage: Program of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia
Gayani Patabandige: Program of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia
Prasadi Saubhagya Sarathchandra Peru Kandage: Program of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia
Wania Usmani: Program of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia
Fahad Hanna: Program of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia

IJERPH, 2024, vol. 21, issue 3, 1-18

Abstract: Background: Cardiovascular diseases (CVDs) are a rising global burden. Preventative strategies such as cardiac rehabilitation (CR) have shown a marked reduction in 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. Four 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 the 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. The socioeconomic barriers were lack of education, longer distance to CR facilities, high cost of care, unemployment, and poor income status. The identified individual characteristics were female gender, older age, and comorbidities. Conclusions: 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 the issues identified in this scoping review. Systematic reviews may be required to confirm these findings.

Keywords: barriers; cardiac rehabilitation; cardiovascular diseases; prevention; scoping review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/21/3/339/pdf (application/pdf)
https://www.mdpi.com/1660-4601/21/3/339/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:21:y:2024:i:3:p:339-:d:1356371

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().