title: Elements of patient-health-care provider communication related to cardiovascular rehabilitation referral.
abstract: Cardiovascular rehabilitation has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-health-care provider interactions regarding cardiovascular rehabilitation and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their health-care providers. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 health-care providers and 50 patients were recorded. Cardiovascular rehabilitation referral was related to greater health-care provider interactivity (odds ratio = 2.82, 95% confidence interval = 1.01-7.86) and less patient concern and worry (odds ratio = 0.64, 95% confidence interval = 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.
authors.affiliation: York University, Canada.
authors.forename: Sanam
authors.initials: S
authors.lastname: Pourhabib
authors.affiliation: University Health Network, Canada.
authors.forename: Caroline
authors.initials: C
authors.lastname: Chessex
authors.affiliation: Mackenzie Health, Canada.
authors.forename: Judy
authors.initials: J
authors.lastname: Murray
authors.affiliation: York University, Canada University Health Network, Canada sgrace@yorku.ca.
authors.forename: Sherry L
authors.initials: SL
authors.lastname: Grace
mesh_terms: D000368:Aged; D000072038:Cardiac Rehabilitation / Q000379:methods* / Q000523:psychology; D002318:Cardiovascular Diseases / Q000523:psychology* / Q000628:therapy*; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011369:Professional-Patient Relations; D011446:Prospective Studies; D012017:Referral and Consultation; D012959:Socioeconomic Factors
keywords: communication; community health promotion; coronary artery disease; exercise; health behavior; health care; health promotion; non-verbal communication; verbal communication
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