P101 - BRIDGING THE GAPS: PATIENT PERSPECTIVES ON ACCESSIBILITY AND HEALTH LITERACY IN CARDIOVASCULAR CARE

Background: Equitable access to cardiovascular care and clear communication are essential for optimal patient outcomes. However, patients often encounter systemic, geographic, and interpersonal barriers that hinder their ability to understand and manage their health. This study explores patient experiences related to accessibility of care and health literacy, with the goal of identifying actionable improvements in cardiovascular service delivery.

METHODS AND RESULTS: A qualitative focus group was conducted with individuals living with cardiovascular conditions across Ontario, Quebec, and Manitoba. Participants were invited to share their experiences navigating the healthcare system, understanding medical information, and accessing support during and after hospitalization. Thematic analysis was guided by two domains: (1) Accessibility of Care and Information, and (2) Health Literacy and Understanding.

Participants described a range of barriers to accessing timely and appropriate care, including jurisdictional limitations (e.g., Quebec residents unable to access Ontario services), rural healthcare shortages, and overwhelmed urban facilities. Communication challenges were frequently cited, with several participants reporting dismissive attitudes from healthcare providers, lack of opportunity to ask questions, and insufficient explanation of diagnoses or treatments. While some patients praised the Ottawa Heart Institute for its clarity and compassion, others relied on pharmacists or peer support groups to fill critical knowledge gaps. Discharge processes were often overwhelming, with large volumes of information provided without adequate guidance or follow-up.
Participants emphasized the importance of tailored communication, suggesting that healthcare providers ask patients how much information they want and in what format (e.g., verbal, written, digital). Peer support networks and post-discharge check-ins were identified as valuable tools for improving understanding and emotional well-being.

Conclusion: This study highlights the urgent need for patient-centered communication strategies, improved access to specialized cardiovascular care, and enhanced support for health literacy. Incorporating patient voices into care planning, provider training, and policy development can foster a more inclusive, responsive, and effective healthcare system. These findings underscore the value of qualitative insights in shaping equitable cardiovascular care across Canada.