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AuthorRoxburgh, Brendon H
AuthorSupervia, Marta
AuthorTurk-Adawi, Karam
AuthorBenatar, Jocelyne R
AuthorJimenez, Francisco Lopez
AuthorGrace, Sherry L
Available date2020-05-14T09:55:45Z
Publication Date2019
Publication NameNew Zealand Medical Journal
ResourceScopus
ISSN288446
URIhttp://hdl.handle.net/10576/14853
AbstractAims: To compare the nature and delivery of cardiac rehabilitation (CR) services within New Zealand by island (North vs South; NI, SI), and to other high-income countries (HICs). Methods: In this cross-sectional study, secondary analysis of an online survey of CR programmes globally was undertaken. Results from New Zealand were compared to data from other HICs with CR. Results: Twenty-seven (62.7%) out of 43 CR programmes in New Zealand (n=18/31, 66.7% respondents from NI) and 619 (43.1%) from 28 other HICs completed the survey. New Zealand CR programmes offered a median of 16.0 sessions/patient (interquartile range (IQR)=12.0-36.0; vs 21.6 sessions in other HICs, IQR=12.0-36.0, p=0.016), delivered by a team of 6.0 staff (IQR=5.5-7.0; vs 7.0 staff; IQR=5.0-9.0, p=0.012). New Zealand programmes were significantly less comprehensive than other HICs (p=0.002); within New Zealand, NI programmes were more likely to provide an initial and end-of-programme assessment, supervised exercise training and depression screening, compared to SI programmes (all p<0.05). New Zealand more often offered CR in an alternative setting (n=14, 58.3%), compared to other HICs (n=190, 36.5%), p=0.03). Conclusions: CR programmes in New Zealand offer fewer sessions and have fewer elements compared to other HICs, and disparity exists in programmes across New Zealand. More investment is needed to ensure CR in New Zealand meets international guidelines.
SponsorMethods Design and procedure This paper presents secondary analysis of a global survey of CR programmes; its methodology is described in detail, and the survey available elsewhere.11 Identified leaders of national CR societies/organisations were contacted via email to administer the survey to each programme in their country. The survey was administered between June 2016 and December 2017, via a secure web-based application (REDCap, Nashville, US). All CR programmes received two email reminders, sent at two-week intervals. Ethical review for this study was carried out by York University's Office of Research Ethics (Toronto, Canada) and Mayo Clinic's Institutional Review Board (Rochester, US); both institutions provided an ethics approval exemption given the study methodology. Informed consent was obtained via an online form. Sample All programmes globally identified as providing phase II CR (ie, outpatient services to patients following an acute cardiac event or hospitalisation) were included in the Global CR Program Survey Study. Forty-three CR programmes in New Zealand were invited to complete the survey. Programme location was categorised as NI or SI based on the city/town listed for each New Zealand programme.
Languageen
PublisherNew Zealand Medical Association
SubjectRehabilitation
Exercise
Rehabilitation CR
TitleNature and delivery of cardiac rehabilitation in New Zealand: Are services equitable to other high-income countries?
TypeArticle
Pagination47-58
Issue Number1496
Volume Number132
dc.accessType Abstract Only


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