Assessing physician barriers to cardiac rehabilitation referral rates in a tertiary teaching centre
to identify barriers to referral among this group of physicians, which can provide the framework for future interventions.
A 13-question survey was electronically distributed
The survey was distributed to 153 physicians with a response rate of nearly 60 percent. Compared to their medicine counterparts, Cardiology residents and staff had significantly improved knowledge with respect to what CR entails and eligibility criteria for referral (6.92 vs. 6.11 out of 9, p=0.036; 12.04 vs. 10.76 out of 17, p = 0.020). Using Noramlized Units (NU), Medicine residents and staff were less likely to be familiar with CR guidelines (72.02 vs. 32.69), and were less likely to discuss the importance of CR attendance with their patients (43.28 vs. 71.15). A higher proportion of those in Medicine also reported being unsure of both how to refer eligible patients (59.12 vs. 13.46) and which patients were eligible for CR (64.92 vs. 23.08). Higher knowledge scores and familiarity with CR guidelines was associated with higher self-reported referral rates.