Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea

Regional Cardiocerebrovascular Centers (RCCs)—a Korean government initiative—seek to reduce medical gaps across regions, and their cardiac rehabilitation (CR) programs are expected to model post-acute care for the Korean CR program. Accordingly, this study aimed to evaluate the current status of CR...

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Autores principales:	Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung-Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	barriers cardiac rehabilitation hospital-based participation rate Medicine R
Acceso en línea:	https://doaj.org/article/1701fc98e9fe4ca3935e765467bce0a0
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spelling	oai:doaj.org-article:1701fc98e9fe4ca3935e765467bce0a02021-11-11T17:42:00ZCurrent Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea10.3390/jcm102150792077-0383https://doaj.org/article/1701fc98e9fe4ca3935e765467bce0a02021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5079https://doaj.org/toc/2077-0383Regional Cardiocerebrovascular Centers (RCCs)—a Korean government initiative—seek to reduce medical gaps across regions, and their cardiac rehabilitation (CR) programs are expected to model post-acute care for the Korean CR program. Accordingly, this study aimed to evaluate the current status of CR programs in the RCCs. We distributed surveys on the CR condition, activity, and barriers to 12 RCCs in different provinces. The results revealed significant gaps in the annual number of acute myocardial infarction admissions, and CR candidates, capacity, and density across the 12 RCCs. The CR capacity (50–500) and density (0.42–7.36) indicated particularly large gaps. Twelve RCCs had the necessary facilities, equipment and personnel for CR assessments and management, with high CR referral (97%) and patient education (78%) rates. However, the inpatient CR exercise training (56%) participation rate was inadequate, with much lower enrollment (47%) and adherence (17%) rates to the outpatient CR program and large differences across centers. Therefore, this study’s results will provide the evidence required to establish special national health strategies to overcome the CR barriers of patient, doctor/hospital, and policy factors for activating Korean CR programs.Chul KimJidong SungJae-Young HanSungju JeeJang Woo LeeJong Hwa LeeWon-Seok KimHeui Je BangSora BaekKyung-Lim JoaAe Ryoung KimSo Young LeeJihee KimChung Reen KimOh Pum KwonMDPI AGarticlebarrierscardiac rehabilitationhospital-basedparticipation rateMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5079, p 5079 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	barriers cardiac rehabilitation hospital-based participation rate Medicine R
spellingShingle	barriers cardiac rehabilitation hospital-based participation rate Medicine R Chul Kim Jidong Sung Jae-Young Han Sungju Jee Jang Woo Lee Jong Hwa Lee Won-Seok Kim Heui Je Bang Sora Baek Kyung-Lim Joa Ae Ryoung Kim So Young Lee Jihee Kim Chung Reen Kim Oh Pum Kwon Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
description	Regional Cardiocerebrovascular Centers (RCCs)—a Korean government initiative—seek to reduce medical gaps across regions, and their cardiac rehabilitation (CR) programs are expected to model post-acute care for the Korean CR program. Accordingly, this study aimed to evaluate the current status of CR programs in the RCCs. We distributed surveys on the CR condition, activity, and barriers to 12 RCCs in different provinces. The results revealed significant gaps in the annual number of acute myocardial infarction admissions, and CR candidates, capacity, and density across the 12 RCCs. The CR capacity (50–500) and density (0.42–7.36) indicated particularly large gaps. Twelve RCCs had the necessary facilities, equipment and personnel for CR assessments and management, with high CR referral (97%) and patient education (78%) rates. However, the inpatient CR exercise training (56%) participation rate was inadequate, with much lower enrollment (47%) and adherence (17%) rates to the outpatient CR program and large differences across centers. Therefore, this study’s results will provide the evidence required to establish special national health strategies to overcome the CR barriers of patient, doctor/hospital, and policy factors for activating Korean CR programs.
format	article
author	Chul Kim Jidong Sung Jae-Young Han Sungju Jee Jang Woo Lee Jong Hwa Lee Won-Seok Kim Heui Je Bang Sora Baek Kyung-Lim Joa Ae Ryoung Kim So Young Lee Jihee Kim Chung Reen Kim Oh Pum Kwon
author_facet	Chul Kim Jidong Sung Jae-Young Han Sungju Jee Jang Woo Lee Jong Hwa Lee Won-Seok Kim Heui Je Bang Sora Baek Kyung-Lim Joa Ae Ryoung Kim So Young Lee Jihee Kim Chung Reen Kim Oh Pum Kwon
author_sort	Chul Kim
title	Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
title_short	Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
title_full	Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
title_fullStr	Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
title_full_unstemmed	Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
title_sort	current status of cardiac rehabilitation in the regional cardiocerebrovascular centers in korea
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1701fc98e9fe4ca3935e765467bce0a0
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Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea

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