FeatureAccess to Cardiac Rehabilitation Among South-Asian Patients by Referral Method: A Qualitative StudyGrewal, Keerat MSc1; Leung, Yvonne W. MA2; Safai, Parissa PhD3; Stewart, Donna E. MD4; Anand, Sonia MD PhD5; Gupta, Milan MD6; Parsons, Cynthia BScPT7; Grace, Sherry L. PhD8Author Information 1Keerat Grewal, MSc, is a medical student at the University of Toronto in Toronto, ON. 2Yvonne W. Leung, MA, is a doctoral student at York University, Toronto, ON, Canada. 3Parissa Safai, PhD, is a an assistant professor at York University, Toronto, ON, Canada. 4Donna E. Stewart, MD, is a professor in and chair of the Women's Health Program at the University Health Network and the University of Toronto, Toronto, ON, Canada. 5Sonia Anand, MD PhD, is a professor of medicine and Michael G. Degroote Chair in Population Health Resarch in the department of medicine, McMaster University, Hamilton, ON, Canada. 6Milan Gupta, MD, is an associate clinical professor of medicine at the University of Toronto and Division of Cardiology, William Osler Health Centre, Brampton, ON, Canada. 7Cynthia Parsons, BScPT, is a cardiac rehabilitation coordinator at York Central Hospital, North York, ON, Canada. 8Sherry L. Grace, PhD, is an associate professor at York University, University Health Network, University of Toronto, and York Central Hospital in Toronto, ON, Canada. Medical Student Doctoral Student Assistant Professor Professor in and Chair of the Women's Health Program Professor of Medicine Associate Clinical Professor Cardiac Rehabilitation Coordinator Associate Professor Address correspondence to her at[email protected]. Rehabilitation Nursing Journal: May 2010 - Volume 35 - Issue 3 - p 106-112 doi: 10.1002/j.2048-7940.2010.tb00285.x Buy Metrics Abstract People of South-Asian origin have an increased prevalence of coronary artery disease. Although cardiac rehabilitation (CR) is effective, South Asians are among the least likely people to participate in these programs. Automatic referral increases CR use and may reduce access inequalities. This study qualitatively explored whether CR referral knowledge and access varied among South-Asian patients. Participants were South-Asian cardiac patients receiving treatment at hospitals in Ontario, Canada. Each hospital refers to CR via one of four methods: automatically through paper or electronically, through discussion with allied health professionals (liaison referral), or through referral at the physician's discretion. Data were collected via interviews and analyzed using interpretive-descriptive analysis. Four themes emerged: the importance of predischarge CR discussions with healthcare providers, limited knowledge of CR, ease of the referral process for facilitators of CR attendance, and participants' needs for personal autonomy regarding their decision to attend CR. Liaison referral was perceived to be the most suitable referral method for participants. It facilitated communication between patients and providers, ensuring improved understanding of CR. Automatic referral may not be as well suited to this population because of reduced patient-provider communication. © 2010 Association of Rehabilitation Nurses.