Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Chul, Sung, Jidong, Han, Jae-Young, Jee, Sungju, Lee, Jang Woo, Lee, Jong Hwa, Kim, Won-Seok, Bang, Heui Je, Baek, Sora, Joa, Kyung-Lim, Kim, Ae Ryoung, Lee, So Young, Kim, Jihee, Kim, Chung Reen, Kwon, Oh Pum
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585050/
https://www.ncbi.nlm.nih.gov/pubmed/34768598
http://dx.doi.org/10.3390/jcm10215079
_version_ 1784597597184327680
author Kim, Chul
Sung, Jidong
Han, Jae-Young
Jee, Sungju
Lee, Jang Woo
Lee, Jong Hwa
Kim, Won-Seok
Bang, Heui Je
Baek, Sora
Joa, Kyung-Lim
Kim, Ae Ryoung
Lee, So Young
Kim, Jihee
Kim, Chung Reen
Kwon, Oh Pum
author_facet Kim, Chul
Sung, Jidong
Han, Jae-Young
Jee, Sungju
Lee, Jang Woo
Lee, Jong Hwa
Kim, Won-Seok
Bang, Heui Je
Baek, Sora
Joa, Kyung-Lim
Kim, Ae Ryoung
Lee, So Young
Kim, Jihee
Kim, Chung Reen
Kwon, Oh Pum
author_sort Kim, Chul
collection PubMed
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 Online
Article
Text
id pubmed-8585050
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-85850502021-11-12 Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea Kim, Chul Sung, Jidong Han, Jae-Young Jee, Sungju Lee, Jang Woo Lee, Jong Hwa Kim, Won-Seok Bang, Heui Je Baek, Sora Joa, Kyung-Lim Kim, Ae Ryoung Lee, So Young Kim, Jihee Kim, Chung Reen Kwon, Oh Pum J Clin Med Article 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. MDPI 2021-10-29 /pmc/articles/PMC8585050/ /pubmed/34768598 http://dx.doi.org/10.3390/jcm10215079 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Chul
Sung, Jidong
Han, Jae-Young
Jee, Sungju
Lee, Jang Woo
Lee, Jong Hwa
Kim, Won-Seok
Bang, Heui Je
Baek, Sora
Joa, Kyung-Lim
Kim, Ae Ryoung
Lee, So Young
Kim, Jihee
Kim, Chung Reen
Kwon, Oh Pum
Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
title 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_short 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585050/
https://www.ncbi.nlm.nih.gov/pubmed/34768598
http://dx.doi.org/10.3390/jcm10215079
work_keys_str_mv AT kimchul currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT sungjidong currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT hanjaeyoung currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT jeesungju currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT leejangwoo currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT leejonghwa currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT kimwonseok currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT bangheuije currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT baeksora currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT joakyunglim currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT kimaeryoung currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT leesoyoung currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT kimjihee currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT kimchungreen currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea
AT kwonohpum currentstatusofcardiacrehabilitationintheregionalcardiocerebrovascularcentersinkorea