TY - JOUR
T1 - Comprehensiveness of cardiac rehabilitation program in Korea
T2 - a nation-wide survey result
AU - Sung, Jidong
AU - Kim, Chul
AU - Han, Jae Young
AU - Jee, Sungju
AU - Lee, Jang Woo
AU - Lee, Jong Hwa
AU - Kim, Won Seok
AU - Bang, Heui Je
AU - Baek, Sora
AU - Joa, Kyung Lim
AU - Kim, Ae Ryoung
AU - Lee, So Young
AU - Kim, Jihee
AU - Kim, Chung Reen
AU - Kwon, Oh Pum
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Background: Cardiac rehabilitation (CR) is an essential component in secondary prevention of cardiovascular diseases. Current guidelines recommend that the program should be comprehensive including multidisciplinary behavioral intervention, not only exercise training. While the utilization of CR is gradually increasing, the comprehensiveness of the program has not been systemically evaluated in Korea. Methods: During the year 2020, nation-wide survey was done to evaluate the current status of CR in Korea. Survey was done by web-based structured questionnaire. Survey was requested to 164 hospitals performing percutaneous coronary intervention. Results: Among 164 hospitals, 47 (28.7%) hospitals had CR programs. In hospitals with CR, multidisciplinary intervention other than exercise-based program was provided only partially: nutritional counseling (63%), vocational counseling for return to work (39%), stress management (31%), psychological evaluation (18%). Personnel for CR was commonly not dedicated to the program or even absent: (percentage of dedicated, concurrent with other work, absent) physical therapist (59, 41, 0%), nurse (31, 69, 0%), dietician (6, 65, 29%), clinical psychologist (0, 37, 63%). Conclusion: Comprehensiveness of CR in Korea is suboptimal and human resource for it is poorly disposed. More awareness of current status by both clinicians and health policy makers is needed and insurance reimbursement for educational program should be improved.
AB - Background: Cardiac rehabilitation (CR) is an essential component in secondary prevention of cardiovascular diseases. Current guidelines recommend that the program should be comprehensive including multidisciplinary behavioral intervention, not only exercise training. While the utilization of CR is gradually increasing, the comprehensiveness of the program has not been systemically evaluated in Korea. Methods: During the year 2020, nation-wide survey was done to evaluate the current status of CR in Korea. Survey was done by web-based structured questionnaire. Survey was requested to 164 hospitals performing percutaneous coronary intervention. Results: Among 164 hospitals, 47 (28.7%) hospitals had CR programs. In hospitals with CR, multidisciplinary intervention other than exercise-based program was provided only partially: nutritional counseling (63%), vocational counseling for return to work (39%), stress management (31%), psychological evaluation (18%). Personnel for CR was commonly not dedicated to the program or even absent: (percentage of dedicated, concurrent with other work, absent) physical therapist (59, 41, 0%), nurse (31, 69, 0%), dietician (6, 65, 29%), clinical psychologist (0, 37, 63%). Conclusion: Comprehensiveness of CR in Korea is suboptimal and human resource for it is poorly disposed. More awareness of current status by both clinicians and health policy makers is needed and insurance reimbursement for educational program should be improved.
KW - Cardiac rehabilitation
KW - Comprehensive health care
KW - Health education
UR - http://www.scopus.com/inward/record.url?scp=85151817840&partnerID=8YFLogxK
U2 - 10.1186/s12872-023-03204-z
DO - 10.1186/s12872-023-03204-z
M3 - Article
C2 - 37024773
AN - SCOPUS:85151817840
SN - 1471-2261
VL - 23
JO - BMC cardiovascular disorders
JF - BMC cardiovascular disorders
IS - 1
M1 - 186
ER -