Perspectives of Policymakers on Barriers to and Enablers of the Uptake of Cardiac Rehabilitation in Saudi Arabia: A Qualitative Study

Ahmed M. Almoghairi; Jane O’Brien; Jed Duff

doi:10.37616/2212-5043.1405

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Perspectives of Policymakers on Barriers to and Enablers of the Uptake of Cardiac Rehabilitation in Saudi Arabia: A Qualitative Study

Journal article

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Perspectives of Policymakers on Barriers to and Enablers of the Uptake of Cardiac Rehabilitation in Saudi Arabia: A Qualitative Study

Ahmed M. Almoghairi, Jane O’Brien and Jed Duff

Saudi Heart Association. Journal, Vol.36(4), pp.371-380

2024

DOI: https://doi.org/10.37616/2212-5043.1405

PMID: 39781229

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Abstract

implementation science

coronary heart disease (CHD)

percutaneous coronary intervention (PCI)

cardiac rehabilitation (CR)

CFIR

Objectives: This study aimed to identify the barriers to and enablers of secondary prevention care and cardiac rehabilitation (CR) utilization by patients with coronary heart disease (CHD) following percutaneous coronary intervention (PCI) from the perspective of policymakers. Methods: A qualitative study involving an interpretive descriptive design was conducted through recorded semi-structured interviews with key decision-makers in cardiology care in Saudi Arabia. The analysis was guided by the updated Consolidated Framework for Implementation Research (CFIR), which informed the resulting themes. Results: Interviews were conducted with nine key decision-makers: four directors of major cardiac centers, four heads of cardiac rehabilitation units, and one president of a specialized cardiac society. Data coding identified 16 CFIR constructs as barriers, with seven prioritized by the participants. The most frequently cited barriers included lack of CR facilities, shortage of trained staff, and insufficient knowledge of CR among cardiologists. Seventeen constructs emerged as enablers to aid in overcoming these challenges, with nine receiving high consensus among policymakers. Key enablers included implementing alternative models, such as home-based programs; enhancing cardiologists’ understanding of CR benefits; and involving higher authorities for support. Conclusions: This study highlights the significant barriers to CR utilization and proposes solutions to facilitate the implementation of these programs from the perspective of healthcare leaders. Successful implementation requires improved communication within institutions, collaboration with the broader healthcare system, and engagement with other stakeholders, such as the private sector, to expand access and ensure comprehensive service delivery.

Details

Title: Perspectives of Policymakers on Barriers to and Enablers of the Uptake of Cardiac Rehabilitation in Saudi Arabia: A Qualitative Study
Authors: Ahmed M. Almoghairi (Corresponding Author) - Shaqra University
Jane O’Brien - Queensland University of Technology
Jed Duff - Queensland University of Technology
Publication details: Saudi Heart Association. Journal, Vol.36(4), pp.371-380
Publisher: Saudi Heart Association
Date published: 2024
DOI: 10.37616/2212-5043.1405
ISSN: 2212-5043
PMID: 39781229
Copyright note: This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 991212663502621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Cardiac & Cardiovascular Systems

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Source: InCites