title: [Cardiac rehabilitation after myocardial infarction in France: still not prescribed enough].
abstract: Despite well-documented benefits for patients after myocardial infarction, cardiac rehabilitation is underutilized in most countries. In France, a recent study showed a participation rate of 22.7 %, with huge regional disparities for unknown reasons. In this paper, we analyze some demographic particularities for explaining these curious results. Then, we review in the literature the complex factors influencing patient's referral in cardiac rehabilitation (patient's believes, role of the physician, health system's organization…), and the best ways of improving cardiac rehabilitation rate or finding adequate alternatives.
authors.affiliation: Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France. Electronic address: pavy.bruno@wanadoo.fr.
authors.forename: B
authors.initials: B
authors.lastname: Pavy
authors.affiliation: Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France.
authors.forename: J
authors.initials: J
authors.lastname: Darchis
authors.affiliation: Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France; Cardiocéan réadaptation cardiaque, 25, allée de la Tourtillière, 17138 Puilboreau, France.
authors.forename: E
authors.initials: E
authors.lastname: Merle
authors.affiliation: Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France.
authors.forename: M
authors.initials: M
authors.lastname: Caillon
mesh_terms: D003131:Combined Modality Therapy / Q000706:statistics & numerical data; D003431:Cross-Cultural Comparison; D005602:France; D006801:Humans; D009203:Myocardial Infarction / Q000534:rehabilitation*; D010819:Physician's Role; D055656:Prescriptions / Q000706:statistics & numerical data; D016032:Randomized Controlled Trials as Topic; D012017:Referral and Consultation / Q000706:statistics & numerical data; D014600:Utilization Review / Q000706:statistics & numerical data
keywords: Barriers and enablers; Cardiac rehabilitation; Facteurs d’orientation; Factors of referral; Obstacles et facteurs favorisants; Réadaptation cardiaque