{"doi":"10.1002/clc.22126","title":"Physician Factors Affecting Cardiac Rehabilitation Referral and Patient Enrollment: A Systematic Review","abstract":"<jats:title>Abstract</jats:title><jats:p>Physicians play an important role in <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> referral and enrollment. Despite established benefits and recommendations, cardiac rehabilitation (<jats:styled-content style=\"fixed-case\">CR</jats:styled-content>) enrollment rates are pervasively low. The reasons cardiac patients are missing from <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> programs are multifactorial and include provider factors. A number of studies have now investigated physician factors associated with referral to <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> programs and patient enrollment. The objective of this study was to qualitatively and systematically review this literature. A literature search of <jats:styled-content style=\"fixed-case\">MEDLINE</jats:styled-content>, <jats:styled-content style=\"fixed-case\">PsycINFO</jats:styled-content>, <jats:styled-content style=\"fixed-case\">CINAHL</jats:styled-content>, Embase, and <jats:styled-content style=\"fixed-case\">EBM</jats:styled-content> was conducted for published articles from database inception to October 2011. Overall, 17 articles were included following a process of independent review of each article by 2 authors. Seven (41.2%) were graded as good quality according to Downs and Black criteria. There were no randomized controlled trials. Results showed that medical specialty (ie, cardiac specialists more likely to refer; n = 8 studies) and other physician‐reported reasons (eg, physician report of their reasons for <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> referral and physician sex) were related to referral. Physician factors related to patient enrollment in <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> were physician endorsement, medical specialty, being referred, and physician attitudes toward <jats:styled-content style=\"fixed-case\">CR</jats:styled-content>. Physician factors are consistently related to <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> referral and enrollment. The role of physician endorsements in promoting patient enrollment should be optimized and exploited.</jats:p>","journal":"Clinical Cardiology","year":2013,"id":601624,"datarank":0.7193685818395114,"base_score":4.795790545596741,"endowment":4.795790545596741,"self_citation_contribution":0.7193685818395114,"citation_network_contribution":0.0,"self_endowment_contribution":0.7193685818395114,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":120,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1542677,"name":"Peter Polyzotis","orcid":null,"position":1,"is_corresponding":false},{"id":1441284,"name":"Paul Oh","orcid":null,"position":2,"is_corresponding":false},{"id":869980,"name":"Maureen Pakosh","orcid":"0000-0002-4507-3380","position":3,"is_corresponding":false},{"id":1083532,"name":"Sherry L. Grace","orcid":"0000-0001-7063-3610","position":4,"is_corresponding":false},{"id":1542676,"name":"Gabriela L. M. Ghisi","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Physician Factors Affecting Cardiac Rehabilitation Referral and Patient Enrollment: A Systematic Review","abstract":"<jats:title>Abstract</jats:title><jats:p>Physicians play an important role in <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> referral and enrollment. Despite established benefits and recommendations, cardiac rehabilitation (<jats:styled-content style=\"fixed-case\">CR</jats:styled-content>) enrollment rates are pervasively low. The reasons cardiac patients are missing from <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> programs are multifactorial and include provider factors. A number of studies have now investigated physician factors associated with referral to <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> programs and patient enrollment. The objective of this study was to qualitatively and systematically review this literature. A literature search of <jats:styled-content style=\"fixed-case\">MEDLINE</jats:styled-content>, <jats:styled-content style=\"fixed-case\">PsycINFO</jats:styled-content>, <jats:styled-content style=\"fixed-case\">CINAHL</jats:styled-content>, Embase, and <jats:styled-content style=\"fixed-case\">EBM</jats:styled-content> was conducted for published articles from database inception to October 2011. Overall, 17 articles were included following a process of independent review of each article by 2 authors. Seven (41.2%) were graded as good quality according to Downs and Black criteria. There were no randomized controlled trials. Results showed that medical specialty (ie, cardiac specialists more likely to refer; n = 8 studies) and other physician‐reported reasons (eg, physician report of their reasons for <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> referral and physician sex) were related to referral. Physician factors related to patient enrollment in <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> were physician endorsement, medical specialty, being referred, and physician attitudes toward <jats:styled-content style=\"fixed-case\">CR</jats:styled-content>. Physician factors are consistently related to <jats:styled-content style=\"fixed-case\">CR</jats:styled-content> referral and enrollment. The role of physician endorsements in promoting patient enrollment should be optimized and exploited.</jats:p>","is_dataset_classified":null,"base_score":4.795790545596741,"endowment":4.795790545596741,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"23640785","pmcid":"PMC3736151","openalex_id":"https://openalex.org/W1904867238","authors":[],"funders":[],"total_grants":0,"fwci":1.6178,"citation_percentile":0.81709742,"influential_citations":0,"citation_trend":[{"year":2013,"count":3},{"year":2014,"count":8},{"year":2015,"count":10},{"year":2016,"count":5},{"year":2017,"count":7},{"year":2018,"count":6},{"year":2019,"count":8},{"year":2020,"count":6},{"year":2021,"count":11},{"year":2022,"count":10},{"year":2023,"count":20},{"year":2024,"count":13},{"year":2025,"count":6},{"year":2026,"count":5}],"oa_status":"hybrid","license":"cc-by-nc","oa_locations":[{"url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/clc.22126","host_type":"journal"},{"url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/clc.22126","host_type":"publisher"},{"url":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fclc.22126","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/pdf/10.1002/clc.22126","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/full-xml/10.1002/clc.22126","host_type":"publisher"},{"url":"https://doi.org/10.1002/clc.22126","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/23640785","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3736151","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC3736151","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC3736151?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Cardiac Health and Mental Health","Patient Satisfaction in Healthcare","Acute Myocardial Infarction Research"],"mesh_terms":["Attitude of Health Personnel","Heart Diseases","Humans","Health Knowledge, Attitudes, Practice","Medicine","Patient Acceptance of Health Care","Physician-Patient Relations","Physician's Role","Referral and Consultation"],"keywords":["Medicine","CINAHL","Referral","PsycINFO","Specialty","MEDLINE","Family medicine","Rehabilitation","Randomized controlled trial","Physical therapy","Psychological intervention","Nursing","Internal medicine"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Quality Education"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-07-29T16:54:55.204370Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}