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Heart Lung Circ. 2015 May;24(5):430-41. doi: 10.1016/j.hlc.2014.12.008. Epub 2015 Jan 12.

Australian Cardiovascular Health and Rehabilitation Association (ACRA) core components of cardiovascular disease secondary prevention and cardiac rehabilitation 2014.

Author information

1
Ipswich Cardiac Rehabilitation Service, West Moreton Hospital and Health Service, Ipswich QLD 4305. Electronic address: steve.woodruffe@health.qld.gov.au.
2
Sydney Nursing School, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006; The George Institute for Global Health, Camperdown, NSW 2050.
3
School of Nursing and Midwifery, Faculty of Health Sciences, Flinders University, Adelaide, SA 5000.
4
Physiotherapy Department, Austin Health, Melbourne, Vic. 3084.
5
National Heart Foundation of Australia (NSW Division), Sydney NSW 2012.
6
Calvary Health Care Adelaide, Calvary Rehabilitation Hospital, Walkerville, SA 5081.
7
Cardiology, Royal Hobart Hospital, Hobart, Tas., Australia.
8
School of Population Health, The University of Western Australia, Perth, WA.

Abstract

BACKGROUND:

Research on Australian cardiovascular disease secondary prevention and cardiac rehabilitation to guide practice needs updating to reflect current context of practice. It is timely therefore to review the core components that underpin effective services that deliver maximum benefits for participants.

METHODS:

The Australian Cardiovascular Health and Rehabilitation Association (ACRA) convened an inter-agency, multidisciplinary, nationally representative expert panel of Australia's leading cardiac rehabilitation clinicians, researchers and health advocates who reviewed the research evidence.

RESULTS:

Five core components for quality delivery and outcomes of services were identified and are recommended: 1) Equity and access to services, 2) Assessment and short-term monitoring, 3) Recovery and longer term maintenance, 4) Lifestyle/behavioural modification and medication adherence, and 5) Evaluation and quality improvement.

CONCLUSIONS:

ACRA seeks to provide guidance on the latest evidence in cardiovascular disease secondary prevention and cardiac rehabilitation. Clinicians should use these core components to guide effective service delivery and promote high quality evidence based care. Directors of hospitals and health services should use these core components to aid decision-making about the development and maintenance of these services.

KEYWORDS:

Cardiac Rehabilitation; Cardiovascular Disease; Core Components; Outcomes; Quality Delivery; Secondary Prevention

PMID:
25637253
DOI:
10.1016/j.hlc.2014.12.008
[Indexed for MEDLINE]

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