获取途径

作者

Turk-Adawi K Supervia M Lopez-Jimenez F Pesah E Ding R Britto RR Bjarnason-Wehrens B Derman W Abreu A Babu AS Santos CA Jong SK Cuenza L Yeo TJ Scantlebury D Andersen K Gonzalez G Giga V Vulic D Vataman E Cliff J Kouidi E Yagci I Kim C Benaim B Estany ER Fernandez R Radi B Gaita D Simon A Chen SY Roxburgh B Martin JC Maskhulia L Burdiat G Salmon R Lomelí H Sadeghi M Sovova E Hautala A Tamuleviciute-Prasciene E Ambrosetti M Neubeck L Asher E Kemps H Eysymontt Z Farsky S Hayward J Prescott E Dawkes S Santibanez C Zeballos C Pavy B Kiessling A Sarrafzadegan N Baer C Thomas R Hu D Grace SL

作者单位

Kent Ridge Road, Level 9, Cardiac Department, Singapore 119228, Singapore. University of the West Indies at Cave Hill, St. Michael, Barbados. University of Iceland, Saemundargata 2, IS-101, Reykjavik, Iceland. Central Hospital of Social Security Institute, Asuncion, Paraguay. Institute of Cardiovascular Diseases, Clinical Center of Serbia, Dr. Koste Todorovića 8, 11000 Beograd, Serbia. University of Banja Luka, Faculty of Medicine, Save Mrkalja 14, 78000 Banja Luka, Bosnia and Herzegovina. Institute of Cardiology, Str. Testemitanu, 20, Chisinau, Republic of Moldova. Betsi Cadwaladr University Health Board, Wrexham Maelor Hospital, Croesnewydd Road, Wrexham LL13 7TD, Wales, United Kingdom. Laboratory of Sports Medicine, Aristotle University of Thessaloniki, Thessaloniki 57001, Greece. Marmara University, School of Medicine, Department of Physical Medicine and Rehabilitation, Fevzi Çakmak Mah Muhsin Yazıcıoğlu Cad. No:10 Üst Kaynarca Pendik / İstanbul, Turkey. Sanggye Paik Hospital, Inje University, Dongil-ro 1342, Nowon-gu, Seoul, Republic of Korea. ASCARDIO, 17 Callejón 12, Barquisimeto 3001, Lara, Venezuela. ICCCV Instituto de Cardiología y Cirugía Cardiovascular, No. 702 entre A y Paseo, Vedado, Calle 17, La Habana, Cuba. INCOR Instituto Nacional Cardiovascular, Jirón Coronel Zegarra, Jesus Maria, Lima 11, Peru. National Cardiovascular Center Harapan Kita, Kav 87, Jl. Letjen. S. Parman, Jakarta, Indonesia. University of Medicine & Victor Babes " 7UY, United Kingdom. Bispebjerg Frederiksberg Hospital, Bispebjerg Bakke 23, 2400 København, NV, Copenhagen, Denmark. Sociedad Chilena de Cardiología, Alfredo Barros Errázuriz 1954, Providencia, Región Metropolitana, Chile. Cardiovascular Institute of Buenos Aires, Av. del Libertador 6302, 1428 Buenos Aires, Argentina. Loire-Vendée-Océan hospital, Boulevard des Régents, 44270 Machecoul, France. Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden. University of British Columbia,2206 East Mall, Vancouver, BC V6T 1Z3, Canada. Moncton Hospital, 135 Macbeath Ave, Moncton, NB E KITE-University Health Network, 399 Bathurst St, Toronto, ON M5T 2S8, Canada. Jiangtai Rd, Chaoyang Qu, Beijing Shi, China, 10009 Sighthill Ct, Edinburgh EH11 4BN, Scotland, United Kingdom. Shaare Zedek Medical Center, the Hebrew University, Jerusalem, Israel. Maxima Medical Centre, De Run 4600, 5504, DB, Veldhoven, Netherlands. Ślaskie Centrum Rehabilitacji w Ustroniu, Zdrojowa 6, 43-450 Ustroń, Poland. Heart House Martin, Bagarova 30, Martin (Podháj), Slovakia. Norfolk and Norwich University Hospital, Colney Lane, Norwich N Pharmacy " National University Heart Centre Singapore, National University Health System (NUHS) Tower Block, International Olympic Committee Research Center South Africa, Francie Van Zijl Drive, Stellenbosch 7599, South Africa. Hospital Santa Marta, 1169-024, R. de Santa Marta 50, Lisbon, Portugal. Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal - 576104, Karnataka. Mediagnóstica Duitama, Cra16 #14- 68 oficina 201, Duitama, Boyacá, Colombia. Hospital Raja Isteri Pengiran Anak Saleha, Bandar Seri Begawan BA1710, Brunei. Philippine Heart Center, East Avenue, Quezon City, Philippines 110 QU Health, Qatar University, Al Jamiaa St, Doha, Qatar. Gregorio Marañón General University Hospital, Gregorio Marañón Health Research Institute, Dr. Esquerdo, 46, 28007 Madrid, Spain. Mayo Clinic, Rochester, 200 First St. SW, Rochester, MN 55905, USA. York University, 4700 Keele Street, Toronto, Ontario M3J1P3, Canada. Peiking University People' Hospital, 11 Xizhimen S St, Xicheng Qu, Beijing Shi, China. Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, MG 31270-901, Brazil. Institute for Cardiology and Sports Medicine, Dep. Preventive and Rehabilitative Sport Medicine and Exercise Physiology, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany. Stellenbosch University & Rehabilitation Clinic, Bvd CD Loga 49, 300020 Timisoara, Romania. State Hospital for Cardiology, Balatonfüred, Gyógy tér 2, 8230, Hungary. Fu Jen Catholic University Hospital and School of Medicine, College of Medicine, Fu Jen Catholic University, No. 69, Guizi Road, Taishan District, New Taipei City 24352, Taiwan. The University of Auckland, 71 Merton Road, Private Bag 92019, Auckland 1142, New Zealand. 12 Octubre Universitary Hospital, Av. Cordoba, s/n, 28041 Madrid, Spain. Tbilisi State Medical University, 33 Vazha Pshavela Ave, Tbilisi, Georgia. Spanish Association Hospital, 11200, Bulevar Gral. Artigas, 1471 Montevideo, Uruguay. PHYSIS Prevencion Cardiovascular, Cdla Bolivariana Av. del Libertador - Mz I Villa 5, Guayaquil, Ecuador. Instituto Nacional de Cardiología, Belisario Domínguez Sección 16, Belisario Domínguez Secc 16, 14080 Tlalpan, CDMX, Mexico. Cardiac Rehabilitation Research Centre, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Hezar-Jerib Ave., Isfahan, IR 81746 73461, Iran. University of Palacky, University Hospital Olomouc, I.P. Pavlova 185/6, Nová Ulice, 779 00 Olomouc, Czech Republic. Cardiovascular Research Group, Division of Cardiology, Oulu University Hospital, University of Oulu, Finland. Lithuanian University of Health Sciences, A. Mickevičiaus g. 9, Kaunas 44307, Lithuania. Istituti Clinici Scientifici Maugeri, Care and Research Institute, Department of Cardiac Rehabilitation, Pavia, Italy. Edinburgh Napier University, Cardiovascular Prevention & 6Z8, Canada. Beijing United Family Hospital,

刊名

Eclinicalmedicine

年份

2019

卷号

Vol.13

页码

31-45

ISSN

2589-5370;2589-5370

关键词

Capacity Cardiac rehabilitation Density Global health Health services Preventive cardiology

摘要

Background: Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation , availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density. Methods: A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World...更多

Background: Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation , availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density. Methods: A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World Health Organization region. Density was computed. Findings: CR was available in 111/203 countries; data were collected in 93 . Availability by region ranged from 80.7% of countries in Europe, to 17.0% in Africa . There were 5753 programs globally that could serve 1,655,083 patients/year, despite an estimated 20,279,651 incident IHD cases globally/year. Volume was significantly greater where patients were systematically referred and programs offered alternative models , and significantly lower with private or public funding compared to hybrid sources.Median capacity was 246/program . The absolute density was one CR spot per 11 IHD cases in countries with CR, and 12 globally. Interpretation: CR is available in only half of countries globally. Where offered, capacity is grossly insufficient, such that most patients will not derive the benefits associated with participation.收起

文献类型

期刊

浏览量

1