Evidence map›Paper›PMID 40597353›Full record

ArticleBMC health services research2025

Bridging the gap: examining healthcare providers' beliefs and recommendations in cardiac rehabilitation and the determinants of their practices in China.

Jiabin Zang, Zhehao Zhang, Zhan Gao, Songhuan Jiang, Yan Weng, Xuechen Hu

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jiabin ZangDepartment of Cardiology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, No.600 Yishan Road, Shanghai, 200233, China.
Zhehao ZhangSchool of Medicine, Shanghai Jiao Tong University, No. 227 Chongqing South Road, Shanghai, 200025, China.
Zhan GaoSchool of Medicine, Shanghai Jiao Tong University, No. 227 Chongqing South Road, Shanghai, 200025, China.
Songhuan JiangSchool of International and Public Affairs, Shanghai Jiao Tong University, No.1954 Huashan Road, Shanghai, 200030, China.
Yan WengSchool of Medicine, Shanghai Jiao Tong University, No. 227 Chongqing South Road, Shanghai, 200025, China.
Xuechen HuSchool of Nursing, Shanghai Jiao Tong University, No. 227 Chongqing South Road, Shanghai, 200025, China. huxuechen@shsmu.edu.cn.

Funding

School of Medicine, Shanghai Jiao Tong University 1824064Y
6 · The paper itself

Abstract

backgroundCardiac rehabilitation (CR) can improve the prognosis of cardiovascular diseases. Healthcare providers' recommendations play a key role in promoting patient participation in CR. This study aimed to assess healthcare professionals' beliefs of CR in China, explore the current status of CR recommendations to patients, and identify the factors influencing their recommendation behavior.

methodsA cross-sectional survey was conducted among cardiovascular doctors, nurses, rehabilitation therapists and general practitioner from healthcare institutions across the country. A total of 1,120 valid questionnaires were collected. The survey included demographic information, the Chinese version of the Recommending Cardiac Rehabilitation (ReCaRe) scale to assess beliefs regarding CR, CR resources, knowledge of CR, and CR recommendation behavior. Binary logistic regression was performed to identify the factors influencing CR recommendation behavior.

resultsThe total score of the ReCaRe scale was 60.80 ± 7.36, with the perceived severity and susceptibility scoring 3.98 ± 0.60, perceived service accessibility at 2.72 ± 0.96, and the perceived benefits and barriers 4.13 ± 0.56. It was reported by 56.5% of healthcare providers that they had recommended CR to patients. However, only 34.6% of participants were familiar with the specific details of CR. It was expressed by 86.0% of healthcare providers that there is a need for more CR resources and training. The predictive factors for healthcare professionals' CR recommendation behavior included familiarity with CR content and the five CR prescriptions, professional title, availability of CR services, hospital type, position, department and age.

conclusionsThere is an urgent need to provide healthcare professionals with more resources and training to deepen their understanding of CR, while also addressing the utilization and accessibility of CR services, in order to enhance their CR recommendation behavior.

Indexed as

Attitude of Health PersonnelCardiac RehabilitationHealth Knowledge, Attitudes, PracticeHealth PersonnelAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesBeliefCardiac rehabilitationHealthcare professionalsInfluencing factorsRecommendation behaviorSecondary prevention and China

Identifiers

PMID40597353
PMCPMC12211905

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.