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An approach to cardiac rehabilitation that integrates hospital
based services with nurse led secondary prevention clinics in primary
care achieves the targets of the national service framework (NSF) for
coronary heart disease. Dalal and Evans (p 481) report on an
innovative, integrated approach to cardiac rehabilitation that offered
patients a choice of home and hospital based cardiac rehabilitation.
Home rehabilitation with the Heart Manual, a structured guide for patients, was popular with patients, and it may increase the
uptake of cardiac rehabilitation in rural communities. The service
ensured good communication across the primary care-secondary care
interface, maximised uptake of cardiac rehabilitation, and optimised
secondary prevention measures.