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An evaluation of a primary and secondary care cardiac rehabilitation service pathway

Trotman-Beasty, Anita; McKenna, Jim; Ingle, Lee

Authors

Anita Trotman-Beasty

Jim McKenna



Abstract

Background: The aim of the study was to assess the synergy between patient treatment pathways in two large primary care trusts (PCTs) and general practices for patients following myocardial infarction (MI) and after completing a 12-week cardiac rehabilitation (CR) hear t manual programme in Kingston-Upon-Hull and the East Riding of Yorkshire.

Methods: Of the 50 practice nurses randomly selected from local GP surgeries and invited to participate, 40 questionnaires were returned and two practice nurses volunteered to be inter viewed.

Results: Four key themes were identified: knowledge of the ‘heart manual programme’ (HMP); information received or used post-HMP; post-MI follow-up routines of practice nurses; the practice nurse: assessment.

Conclusions: It appears that current CR provision in Kingston-uponHull and the East Riding of Yorkshire may be fragmented and duplicative, leading to poor cost effectiveness as both primary and secondary care providers are working to conflicting government targets. The system fails to build on the strengths of the health professionals working within it. We recommend the development of an integrated, standardized care pathway that we hope will bring a ‘joined-up’ solution to a disjointed problem.

Journal Article Type Article
Publication Date 2009-04
Print ISSN 1749-6403
Electronic ISSN 2052-2207
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 4
Issue 4
Pages 178-184
APA6 Citation Trotman-Beasty, A., McKenna, J., & Ingle, L. (2009). An evaluation of a primary and secondary care cardiac rehabilitation service pathway. British journal of cardiac nursing, 4(4), 178-184
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