Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Experience of exclusion: A framework analysis of socioeconomic factors affecting cardiac rehabilitation participation among patients with acute coronary syndrome

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Predictors of patient-reported outcomes at discharge in patients with heart failure

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Lifestyle interventions after ablation for atrial fibrillation: a systematic review

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Questionnaire measuring patient participation in health care: Scale development and psychometric evaluation

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Facilitating transcatheter aortic valve implantation in the era of COVID-19: Recommendations for programmes

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Cognitive training for prevention of cognitive impairment in adult intensive care unit (ICU) patients

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Does rocking motion calm delirious patients in ICU? A multicentre randomised clinical trial protocol (RockingICU)

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Iatrogenic withdrawal syndrome frequently occurs in paediatric intensive care without algorithm for tapering of analgosedation

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Socioeconomic inequality in telephone triage on triage response, hospitalization and 30-day mortality

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Skills, competencies, and policies for advanced practice critical care nursing in Europe: a scoping review

    Research output: Contribution to journalReviewResearchpeer-review

View graph of relations

BACKGROUND: The Danish public healthcare system provides comprehensive care based on the principle of equal access. However, it is well documented that patients with low socioeconomic position are less likely to participate in cardiac rehabilitation. More knowledge is needed to understand this phenomenon. The aim of the study was to explore the patient experience of barriers to completion of phase II cardiac rehabilitation, and to investigate the impact of socioeconomic factors on completion of cardiac rehabilitation.

METHODS: The study had a qualitative explorative design using semi-structured individual or dyadic interviews with patients ( n = 24) and close relatives ( n = 12). Informants were sampled from a quantitative prospective study of 302 patients with acute coronary syndrome and data were analyzed using the framework method.

RESULTS: Patients in different socioeconomic groups were challenged by a rigid and non-individualized rehabilitation program. A total of five themes were identified that might explain non-participation in cardiac rehabilitation: exclusion by time and place, exclusion by health beliefs, exclusion from counseling, exclusion by alienation, and exclusion of relatives. The themes were described in a matrix of socioeconomic factors of age, sex, education and employment.

CONCLUSIONS: Patients in various socioeconomic subgroups felt excluded from cardiac rehabilitation for different reasons. This study supports earlier findings and provides examples of real-life issues that need to be addressed to prevent attrition and encourage participation. Equal access to cardiac rehabilitation can only be reached if the physical and psychological needs of patient and family are met by tailoring therapy to consider age, sex, education and employment groups.

Original languageEnglish
JournalEuropean journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Volume16
Issue number8
Pages (from-to)715-723
ISSN1474-5151
DOIs
Publication statusPublished - 2017

    Research areas

  • Journal Article

ID: 50610751