Cardiac Rehabilitation Models around the Globe
AbstractAlternative models of cardiac rehabilitation (CR) delivery, such as home or community-based programs, have been developed to overcome underutilization. However, their availability and characteristics have never been assessed globally. In this cross-sectional study, a piloted survey was administered online to CR programs globally. CR was available in 111/203 (54.7%) countries globally; data were collected in 93 (83.8% country response rate). 1082 surveys (32.1% program response rate) were initiated. Globally, 85 (76.6%) countries with CR offered supervised programs, and 51 (45.9%; or 25.1% of all countries) offered some alternative model. Thirty-eight (34.2%) countries with CR offered home-based programs, with 106 (63.9%) programs offering some form of electronic CR (eCR). Twenty-five (22.5%) countries with CR offered community-based programs. Where available, programs served a mean of 21.4% ± 22.8% of their patients in home-based programs. The median dose for home-based CR was 3 sessions (Q25−Q75 = 1.0–4.0) and for community-based programs was 20 (Q25–Q75 = 9.6–36.0). Seventy-eight (47.0%) respondents did not perceive they had sufficient capacity to meet demand in their home-based program, for reasons including funding and insufficient staff. Where alternative CR models are offered, capacity is insufficient half the time. Home-based CR dose is insufficient to achieve health benefits. Allocation to program model should be evidence-based. View Full-Text
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Lima de Melo Ghisi, G.; Pesah, E.; Turk-Adawi, K.; Supervia, M.; Lopez Jimenez, F.; Grace, S.L. Cardiac Rehabilitation Models around the Globe. J. Clin. Med. 2018, 7, 260.
Lima de Melo Ghisi G, Pesah E, Turk-Adawi K, Supervia M, Lopez Jimenez F, Grace SL. Cardiac Rehabilitation Models around the Globe. Journal of Clinical Medicine. 2018; 7(9):260.Chicago/Turabian Style
Lima de Melo Ghisi, Gabriela; Pesah, Ella; Turk-Adawi, Karam; Supervia, Marta; Lopez Jimenez, Francisco; Grace, Sherry L. 2018. "Cardiac Rehabilitation Models around the Globe." J. Clin. Med. 7, no. 9: 260.
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