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Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/40180
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Campo DCValorIdioma
dc.creatorThaianne Cavalcante Sérviopt_BR
dc.creatorRaquel Rodrigues Brittopt_BR
dc.creatorGabriela Lima de Melo Ghisipt_BR
dc.creatorLilian Pinto da Silvapt_BR
dc.creatorLuciana Duarte Novais Silvapt_BR
dc.creatorMárcia Maria Oliveira Limapt_BR
dc.creatorDanielle Aparecida Gomes Pereirapt_BR
dc.creatorSherry Gracept_BR
dc.date.accessioned2022-03-17T14:10:38Z-
dc.date.available2022-03-17T14:10:38Z-
dc.date.issued2019-
dc.citation.volume19pt_BR
dc.citation.spage1pt_BR
dc.citation.epage10pt_BR
dc.identifier.doihttps://doi.org/10.1186/s12913-019-4463-9pt_BR
dc.identifier.issn1472-6963pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/40180-
dc.description.resumoBackground: Despite clinical practice guideline recommendations that cardiovascular disease patients participate, cardiac rehabilitation (CR) programs are highly unavailable and underutilized. This is particularly true in low-resource settings, where the epidemic is at its’ worst. The reasons are complex, and include health system, program and patient-level barriers. This is the first study to assess barriers at all these levels concurrently, and to do so in a lowresource setting. Methods: In this cross-sectional study, data from three cohorts (healthcare administrators, CR coordinators and patients) were triangulated. Healthcare administrators from all institutions offering cardiac services, and providers from all CR programs in public and private institutions of Minas Gerais state, Brazil were invited to complete a questionnaire. Patients from a random subsample of 12 outpatient cardiac clinics and 11 CR programs in these institutions completed the CR Barriers Scale. Results: Thirty-two (35.2%) healthcare administrators, 16 (28.6%) CR providers and 805 cardiac patients (305[37.9%] attending CR) consented to participate. Administrators recognized the importance of CR, but also the lack of resources to deliver it; CR providers noted referral is lacking. Patients who were not enrolled in CR reported significantly greater barriers related to comorbidities/functional status, perceived need, personal/ family issues and access than enrollees, and enrollees reported travel/work conflicts as greater barriers than non-enrollees (all p < 0.01). Conclusions: The inter-relationship among barriers at each level is evident; without resources to offer more programs, there are no programs to which physicians can refer (and hence inform and encourage patients toattend), and patients will continue to have barriers related to distance, cost and transport. Advocacy for services is needed.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Geraispt_BR
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorpt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofBMC Health Services Researchpt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectHealth care servicespt_BR
dc.subjectCardiac rehabilitationpt_BR
dc.subjectCardiac care facilitiespt_BR
dc.subjectAttitude of health personnelpt_BR
dc.subject.otherServiços de saúdept_BR
dc.subject.otherReabilitação cardíacapt_BR
dc.subject.otherCuidados médicospt_BR
dc.subject.otherPessoal da área médicapt_BR
dc.titleBarriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patientspt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719378/pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-9533-3654pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7946-3718pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-9352-1504pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-1200-5680pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0003-4400-2326pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610pt_BR
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