Currently Viewing:
ACO & Emerging Healthcare Delivery Coalition®
5 Important Healthcare Issues Discussed at the ACO Coalition Meeting
October 28, 2017
Dr Shantanu Agrawal: Incorporating Social Risk Factors Into Performance Measures
October 28, 2017
Making the Case for Integrated Care and Physician Engagement With Addiction Patients
October 30, 2017
Navigating the Politics of the Healthcare Landscape
October 30, 2017
The Challenge of Adjusting Health Measures for Social Risk Factors
October 30, 2017
Dr Frank James on Improving Treatment for Addiction
November 01, 2017
Moving Specialties and the Whole Healthcare Industry to Value-Based Payment Models
November 01, 2017
Dr Frank James Discusses Responses to the Opioid Epidemic
November 11, 2017
Dr Justin Bachmann: Challenges of Implementing Behavioral Interventions in Cardiac Care
November 18, 2017
Barbara Balik Explains the Biggest Stressors That Cause Clinician Burnout
November 19, 2017
Dr Frank James: Working to Increase Access to Medication-Assisted Treatment
November 26, 2017
Clay Alspach Explains How Changes in the FDA Will Affect Biosimilars
November 27, 2017
Barbara Balik: Why Clinician Burnout Needs to Be Addressed
November 29, 2017
Dr Mark Friedberg Discusses His Findings on Workplace Conditions in FQHCs
December 05, 2017
Dr Shantanu Agrawal on the Challenge of Adjusting Measures for Social Risk Factors
December 14, 2017
Dr Shantanu Agrawal: How Quality Measures Help to Address Health Inequities
December 31, 2017
Dr Justin Bachmann Discusses Consequences of Value-Based Care Being Done Incorrectly
January 06, 2018
Dr Justin Bachmann on How Cardiology Is Handling Transition to Value-Based Care
January 22, 2018
Currently Reading
Dr Justin Bachmann Discusses Cardiac Rehabilitation in Patients
February 08, 2018
Dr Shantanu Agrawal Explains How Payment Models Can Reduce Health Disparities
April 08, 2018
Barbara Balik Discusses Eliminating the Negatives of EHRs
April 10, 2018
Dr Mark Friedberg on Achieving Professional Satisfaction in the Practice
April 11, 2018
Dr Mark Friedberg Recognizes the Importance of Addressing Underlying Causes of Burnout
April 19, 2018
Dr Shantanu Agrawal: Bringing Together the Community to Tackle Social Determinants of Health
April 23, 2018

Dr Justin Bachmann Discusses Cardiac Rehabilitation in Patients

Only 20% of patients who have a heart attack undergo recommended cardiac rehabilitation, so cardiologists are looking at ways to encourage patients to go to rehab, explained Justin Bachmann, MD, MPH, FACC, instructor of Medicine and Health Policy at Vanderbilt University Medical Center.


Only 20% of patients who have a heart attack undergo recommended cardiac rehabilitation, so cardiologists are looking at ways to encourage patients to go to rehab, explained Justin Bachmann, MD, MPH, FACC, instructor of Medicine and Health Policy at Vanderbilt University Medical Center.

Transcript (slightly modified)

What are your findings from your research on using behavioral interventions to improve care for patients with cardiovascular disease?

One of my major research focuses is cardio rehabilitation. So cardiac rehab is a program of prescribed exercise that patients should undergo after they have a heart attack, or undergo a bypass, or other cardio procedure. Unfortunately, only 20% of patients participate in cardiac rehabilitation in the United States. So we’re looking at behavioral intervention to encourage patients to go to cardiac rehab.

One of the things, and it was actually referenced in one of the talks at the [ACO & Emerging Healthcare Delivery Coalition fall meeting], was the concept of self-efficacy. At the conference it was discussed in the context of physician burnout. Here, I’m actually talking about it in regards to patients. Self-efficacy is a psychological construct. It’s basically the confidence that a patient has and their ability to achieve a desired outcome, a specific task. So the confidence that a patient has and their ability to start exercising, stop smoking, control their blood pressure, take their medicines.

Unfortunately, a lot of the elderly patients that I see in the hospital and have heart attacks they’re very ill and their self-efficacy levels for various attacks are not very high; I mean they’re ill and perhaps some of them haven’t exercised perhaps some of them have been smoking all their lives. What we, traditionally, have done in medicine is tell patients things: cholesterol is bad, stop smoking, exercise. It’s important to provide information but it’s also important to support patients and give them the confidence and the information they need to achieve these outcomes. That’s what my research program is focused on.

We use such techniques as emotional interviewing which is basically a counseling technique devised by Stephen Rollnick, PhD, and William Richard Miller, PhD, a couple of psychologists, to give them patience and earn confidence to do these sorts of things. And I think really we know that these results are sort of preliminary, but they’re very important to patients who have had cardiac events and getting them to cardiac rehabilitation programs and rehabilitate after they have heart attacks or undergo bypasses.

 
Copyright AJMC 2006-2018 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up