ArticleBMC cardiovascular disorders2017
Exploring the impact of financial barriers on secondary prevention of heart disease.
Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Long-Term Attrition in a 12-Month Adapted Physical Activity Program After Cardiac Rehabilitation: A Real-World Longitudinal Study.Journal of cardiovascular development and disease · 2026Article
- Association Between Copayments and Attendance in Cardiac Rehabilitation: A Nationwide Analysis From the AACVPR Registry.Journal of the American Heart Association · 2026Article
- The HeartHealth Program: A Mixed Methods Study of a Community-Based Text Messaging Support Program for Patients With Cardiovascular Disease From 2020 to 2024.JMIR cardio · 2026Article
- A cross-sectional survey on public awareness of atherosclerotic cardiovascular disease (ASCVD), preventive practices, and perceived barriers in the UAE.Journal of public health research · 2025Article
- Unfavorable social determinants of health are associated with higher burden of financial toxicity among patients with atherosclerotic cardiovascular disease in the US: findings from the National Health Interview Survey.Archives of public health = Archives belges de sante publique · 2022Article
- Association of Neighborhood-Level Material Deprivation With Atrial Fibrillation Care in a Single-Payer Health Care System: A Population-Based Cohort Study.Circulation · 2022Article
- Medicare Coverage and Out-of-Pocket Costs of Quadruple Drug Therapy for Heart Failure.Journal of the American College of Cardiology · 2022Article
- Article
- Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study.Journal of caring sciences · 2021Article
- Atherosclerotic Cardiovascular Disease, Cancer, and Financial Toxicity Among Adults in the United States.JACC. CardioOncology · 2021Article
- Incorporating intervention fidelity components into randomized controlled trials promoting exercise adherence in heart failure patients.Research in nursing & health · 2019Article
- Education of Migrant and Nonmigrant Patients Is Associated With Initiation and Discontinuation of Preventive Medications for Acute Coronary Syndrome.Journal of the American Heart Association · 2019Observational
- Barriers to Healthcare Access and to Improvements in Health-Related Quality of Life After an Acute Coronary Syndrome (From TRACE-CORE).The American journal of cardiology · 2018Article
- Barriers to Healthcare Access and Long-Term Survival After an Acute Coronary Syndrome.Journal of general internal medicine · 2018Article
- Access to routine care and risks for 30-day readmission in patients with cardiovascular disease.American heart journal · 2018Article
- Recent Approaches to Improve Medication Adherence in Patients with Coronary Heart Disease: Progress Towards a Learning Healthcare System.Current atherosclerosis reports · 2018Review
- Cost-related nonadherence to prescription medications in Canada: a scoping review.Patient preference and adherence · 2018Article
- A perspective on nonadherence to drug therapy: psychological barriers and strategies to overcome nonadherence.Patient preference and adherence · 2018Review
- Financial burden of survivors of medically-managed myocardial infarction and its association with selected social determinants and quality of life in a lower middle income country.BMC cardiovascular disorders · 2017Article
- Patient Perspectives on Home-Based Care and Remote Monitoring in Heart Failure: A Qualitative Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with coronary artery disease experience various barriers which impact their ability to optimally manage their condition. Financial barriers may result in cost related non-adherence to medical therapies and recommendations, impacting patient health outcomes. Patient experiences regarding financial barriers remain poorly understood. Therefore, we used qualitative methods to explore the experience of financial barriers to care among patients with heart disease.
methodsWe conducted a qualitative descriptive study of participants in Alberta, Canada with heart disease (n = 13) who perceived financial barriers to care. We collected data using semi-structured face-to-face or telephone interviews inquiring about patients experience of financial barriers and the strategies used to cope with such barriers. Multiple analysts performed inductive thematic analysis and findings were bolstered by member checking.
resultsThe aspects of care to which participants perceived financial barriers included access to: medications, cardiac rehabilitation and exercise, psychological support, transportation and parking. Some participants demonstrated the ability to successfully self-advocate in order to effectively navigate within the healthcare and social service systems.
conclusionFinancial barriers impacted patients' ability to self-manage their cardiovascular disease. Financial barriers contributed to non-adherence to essential medical therapies and health recommendations, which may lead to adverse patient outcomes. Given that it is such a key skill, enhancing patients' self-advocacy and navigation skills may assist in improving patient health outcomes.
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