Perioperative medicine & outcomes

Addressing inequities in the design and delivery of prehabilitation in the UK : case studies of challenges, complexities and good practice *

AnaesthesiaPublished Qualitative study

Authors' conclusion

Our qualitative findings from real-world settings illustrate how and why disparities arise in practice and offer insights for more equitable prehabilitation.

Study context

Population
Prehabilitation services before cancer surgery across England and Wales: professionals, patients and carers6 services
Outcome
Themes linking prehabilitation and health inequalities
Methodological detailscase study methodology, purposive sampling, inductive thematic analysis, 47 interviews with professionals, 47 with patients (incl. 8 with carers), 28 observations of practice
  • Case study methodology
  • Purposive sampling
  • Inductive thematic analysis
  • 47 interviews with professionals, 47 with patients (incl. 8 with carers), 28 observations of practice

Main finding

As reported in the abstract

  • Patients' circumstances influence their ability to engage
  • Value of prehabilitation to patients depends on how it is introduced and understood
  • Services can address, but also exacerbate, health inequalities
  • Services may offer more and/or less than the prototypical prehabilitation model
  • Services use and develop an incomplete evidence base
  • Services work with limited resources to provide the most benefit
  • Six themes

Original publication

Addressing inequities in the design and delivery of prehabilitation in the UK : case studies of challenges, complexities and good practice *. Anaesthesia. Published 20 July 2026. doi:10.1111/anae.70286

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