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Table 4 Barriers to CR Participation, by Country

From: Cardiac rehabilitation in Canada and Arab countries: comparing availability and program characteristics

  Arab Canadian
N = 5 N = 39
Perceived Barriers to Greater Participationa Mean SD Mean SD
 Lack of space 4.0 1.2 3.4 1.2
 Lack of human resources 4.0 1.4 3.8 1.2
 Lack of patient referral 3.8 1.8 3.2 1.4
 Lack of financial resources/ budget 3.6 1.1 4.3 1.0
 Lack of equipment 3.5 1.9 2.7 1.1
Patient Groups Perceived to Have Low Accessb n % n %
 Patients of low economic means 4 80.0 21 17.2
 Patients with a disability 4 80.0 17 13.9
 Women 4 80.0 12 9.8
 Patients with musculoskeletal problems 4 80.0 11 9.0
 Rural patients 2 40.0 24 19.7
 Older patients 2 40.0 10 8.2
 Everyone needs more access NA NA 9 7.4
 Patients with lack of language proficiency of program NA NA 9 7.4
 Minority ethnic groups NA NA 7 5.7
 Patients of certain religious beliefs NA NA 2 1.6
Reasons for CR Non-completion (%) Mean SD Mean SD
 Non-compliance 37.0 20.2 23.5 15.3
 Return to work 33.8 30.9 23.6 15.2
 Financial reasons 33.0 32.7 9.2 8.9
 No longer medically necessary 20.0 21.6 4.4 6.5
 Transportation barriers 5.5 5.3 21.3 17.4
  1. CR cardiac rehabilitation, SD standard deviation, NA not available
  2. aMean program responses to patient participation on a 5-point Likert type scale from 1 (this is definitely not an issue) to 5 (this is definitely an issue)
  3. bRespondents were asked to check all that apply