Cardiac rehabilitation availability and delivery in Europe: How does it differ by region and compare with other high-income countries?: Endorsed by the European Association of Preventive Cardiology
Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic
Typ dokumentu srovnávací studie, časopisecké články, multicentrická studie, práce podpořená grantem
PubMed
30782007
DOI
10.1177/2047487319827453
Knihovny.cz E-zdroje
- Klíčová slova
- Cardiac rehabilitation, Europe, survey,
- MeSH
- disparity zdravotní péče ekonomika MeSH
- dostupnost zdravotnických služeb ekonomika MeSH
- integrované poskytování zdravotní péče ekonomika MeSH
- kardiovaskulární rehabilitace ekonomika MeSH
- lidé MeSH
- náklady na zdravotní péči * MeSH
- nemoci srdce diagnóza ekonomika epidemiologie rehabilitace MeSH
- příjem * MeSH
- průřezové studie MeSH
- průzkumy zdravotní péče MeSH
- sociální zabezpečení ekonomika MeSH
- výdaje na zdravotnictví MeSH
- výsledek terapie MeSH
- výsledky a postupy - zhodnocení (zdravotní péče) ekonomika MeSH
- zdravotnické služby - potřeby a požadavky ekonomika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- srovnávací studie MeSH
- Geografické názvy
- Evropa epidemiologie MeSH
AIMS: The aims of this study were to establish cardiac rehabilitation availability and density, as well as the nature of programmes, and to compare these by European region (geoscheme) and with other high-income countries. METHODS: A survey was administered to cardiac rehabilitation programmes globally. Cardiac associations were engaged to facilitate programme identification. Density was computed using global burden of disease study ischaemic heart disease incidence estimates. Four high-income countries were selected for comparison (N = 790 programmes) to European data, and multilevel analyses were performed. RESULTS: Cardiac rehabilitation was available in 40/44 (90.9%) European countries. Data were collected in 37 (94.8% country response rate). A total of 455/1538 (29.6% response rate) programme respondents initiated the survey. Programme volumes (median 300) were greatest in western European countries, but overall were higher than in other high-income countries (P < 0.001). Across all Europe, there was on average only 1 CR spot per 7 IHD patients, with an unmet regional need of 3,449,460 spots annually. Most programmes were funded by social security (n = 25, 59.5%; with significant regional variation, P < 0.001), but in 72 (16.0%) patients paid some or all of the programme costs (or ∼18.5% of the ∼€150.0/programme) out of pocket. Guideline-indicated conditions were accepted in 70% or more of programmes (lower for stable coronary disease), with no regional variation. Programmes had a multidisciplinary team of 6.5 ± 3.0 staff (number and type varied regionally; and European programmes had more staff than other high-income countries), offering 8.5 ± 1.5/10 core components (consistent with other high-income countries) over 24.8 ± 26.0 hours (regional differences, P < 0.05). CONCLUSION: European cardiac rehabilitation capacity must be augmented. Where available, services were consistent with guidelines, but varied regionally.
Cardiac Rehabilitation Department Betsi Cadwaladr University Health Board Wrexham Maelor Hospital UK
Cardiac Rehabilitation Department Loire Vendée Océan Hospital France
Cardiac Rehabilitation Department Ślaskie Centrum Rehabilitacji w Ustroniu Poland
Cardiac Rehabilitation Department State Hospital for Cardiology Hungary
Cardiology Department Bispebjerg Frederiksberg Hospital Denmark
Cardiology Department Heart House Martin Slovakia
Cardiology Department Hospital Santa Maria Portugal
Cardiology Department Norfolk and Norwich University Hospital UK
Cardiovascular Research Group Oulu University Hospital Finland
Department of 1st Internal Medicine Aristotle University of Thessaloniki Greece
Department of Cardiology Maxima Medical Centre The Netherlands
Department of Cardiovascular Medicine Mayo Clinic USA
Department of Internal Medicine University of Iceland Iceland
Department of Internal Medicine University of Palacky University Hospital Olomouc Czech Republic
Department of Kinesiology and Health Sciences York University Canada
Department of Public Health Qatar University Qatar
Department of Rehabilitation Lithuanian University of Health Sciences Lithuania
Institute for Cardiology and Sports Medicine German Sport University Cologne Germany
Institute of Cardiology Moldova Academy of Science Republica Moldova
Institute of Cardiovascular Diseases Clinical Center of Serbia Serbia
Karolinska Institutet Department of Clinical Sciences Danderyd Hospital Sweden
Physical Medicine and Rehabilitation Department Marmara University School of Medicine Turkey
School of Health and Social Care Edinburgh Napier University UK
Toronto Rehabiliation Institute University Health Network Canada
University of Banja Luka Center for Medical Research Bosnia and Herzegovina
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