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Research Letter
Feb 11, 2013

Effect of Patient Navigation on Enrollment in Cardiac Rehabilitation

Author Affiliations

Author Affiliations: School of Health Technology and Management and Department of Medicine, School of Medicine, Stony Brook Medicine, Stony Brook, New York (Drs Benz Scott, Gravely, Brzostek, and Brown); and College of Business, Stony Brook University, Stony Brook (Dr Sexton).

JAMA Intern Med. 2013;173(3):244-246. doi:10.1001/2013.jamainternmed.1042

Globally, cardiovascular diseases are the leading causes of morbidity and mortality.1 Secondary prevention measures, such as outpatient cardiac rehabilitation (OCR), effectively reduce this burden.2,3 Randomized controlled trials and quantitative reviews demonstrate that OCR programs result in significant reductions in morbidity, mortality, and cost of care compared with usual care. Despite this evidence, referral to and enrollment in OCR is low, averaging 19% in the United States.4 It is important to identify new approaches to improve enrollment in OCR because there are limited intervention studies targeting participation among eligible cardiac patients.2,5,6

The objective of this study was to test the hypothesis that a patient navigation (PN) intervention would achieve significantly higher rates of OCR enrollment compared with usual care.

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