Abstract
Introduction: Cardiac rehabilitation (CR) is an effective intervention to support patients in achieving their health objectives and in decreasing their risk of suffering from another myocardial infarction (MI). However, in several remote areas, no cardiac rehabilitation program (CRP) exists to support patients having experienced an MI. Before the creation of an intervention CRP adapted to patients living in these areas, it is essential to describe patients and healthcare professionals' needs regarding cardiac rehabilitation care. Objective: This study describes the needs of remote patients and healthcare professionals for the essential components in a CR program following myocardial infarction and percutaneous transluminal coronary angioplasty. Methods: A qualitative formative research study was conducted involving 10 men, 6 women, and 4 family physicians. Data were collected through in-depth individual interviews and one focus group. Results: Results show that patients who have suffered an MI have multiple unmet needs. This gap may be due to the variability in follow-ups by healthcare professionals. In the absence of a cardiac rehabilitation program, these patients must adapt quickly to their new health condition. Discussion and conclusion: It is critical that the needs of patients living in remote areas are better addressed in cardiac rehabilitation. To do this, it is essential to create a CRP that is tailored to the needs of both patients and professionals, thus providing patient-centered care.
Highlights
Cardiac rehabilitation (CR) is an effective intervention to support patients in achieving their health objectives and in decreasing their risk of suffering from another myocardial infarction (MI)
This study describes the needs of remote patients and healthcare professionals for the essential components in a CR program following myocardial infarction and percutaneous transluminal coronary angioplasty
This study is the first to describe the needs of patients having suffered an MI and those perceived by family physicians about a cardiac rehabilitation program (CRP) in a remote area and the current services offered to patients in primary care
Summary
Cardiac rehabilitation (CR) is an effective intervention to support patients in achieving their health objectives and in decreasing their risk of suffering from another myocardial infarction (MI). Objective: This study describes the needs of remote patients and healthcare professionals for the essential components in a CR program following myocardial infarction and percutaneous transluminal coronary angioplasty. Avant la création d’une intervention de PRC adapté aux personnes vivant en régions éloignées, il est essentiel de décrire les besoins des patients et des professionnels de la santé en matière de soins de RC. Remote areas are known to be served only by basic medical resources (primary care facilities and first referral hospitals) which depend on more specialized resources located more than 30 minutes away (Canadian Association of Emergency Physicians, 1997) For those patients, the PTCA intervention is achieved in an urban area (Institut national d’excellence en santé et en services sociaux, 2016), located more than 640 Km from their residence. CR is an effective secondary and tertiary prevention strategy that reduces the risk of MI recurrence through an interprofessional cardiac rehabilitation program (CRP), which increases functional and cardiac capacity as well as quality of life (Ghannem et al, 2015)
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