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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/41294
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dc.creatorElla Pesahpt_BR
dc.creatorKaram Turk-Adawipt_BR
dc.creatorMarta Superviapt_BR
dc.creatorFrancisco Lopez Jimenezpt_BR
dc.creatorRaquel Rodrigues Brittopt_BR
dc.creatorRongjing Dingpt_BR
dc.creatorAbraham Samuel Babupt_BR
dc.creatorMasoumeh Sadeghipt_BR
dc.creatorNizal Sarrafzadeganpt_BR
dc.creatorLucky Cuenzapt_BR
dc.creatorClaudia Victoria Anchique Santospt_BR
dc.creatorMartin Heinept_BR
dc.creatorWayne Dermanpt_BR
dc.creatorPaul Ohpt_BR
dc.creatorSherry Gracept_BR
dc.date.accessioned2022-05-02T17:21:37Z-
dc.date.available2022-05-02T17:21:37Z-
dc.date.issued2019-
dc.citation.volume105pt_BR
dc.citation.issue23pt_BR
dc.citation.spage1806pt_BR
dc.citation.epage1812pt_BR
dc.identifier.doihttps://heart.bmj.com/content/105/23/1806.longpt_BR
dc.identifier.issn1468-201Xpt_BR
dc.identifier.urihttp://hdl.handle.net/1843/41294-
dc.description.resumoObjective: Cardiac rehabilitation (CR) availability, programme characteristics and barriers are not well-known in low/middle-income countries (LMICs). In this study, they were compared with high-income countries (HICs) and by CR funding source. Methods: A cross-sectional online survey was administered to CR programmes globally. Need for CR was computed using incident ischaemic heart disease (IHD) estimates from the Global Burden of Disease study. General linear mixed models were performed. Results: CR was identified in 55/138 (39.9%) LMICs; 47/55 (85.5% country response rate) countries participated and 335 (53.5% programme response) surveys were initiated. There was one CR spot for every 66 IHD patients in LMICs (vs 3.4 in HICs). CR was most often paid by patients in LMICs (n=212, 65.0%) versus government in HICs (n=444, 60.2%; p<0.001). Over 85% of programmes accepted guideline-indicated patients. Cardiologists (n=266, 89.3%), nurses (n=234, 79.6%; vs 544, 91.7% in HICs, p=0.001) and physiotherapists (n=233, 78.7%) were the most common providers on CR teams (mean=5.8±2.8/programme). Programmes offered 7.3±1.8/10 core components (vs 7.9±1.7 in HICs, p<0.01) over 33.7±30.7 sessions (significantly greater in publicly funded programmes; p<0.001). Publicly funded programmes were more likely to have social workers and psychologists on staff, and to offer tobacco cessation and psychosocial counselling. Conclusion: CR is only available in 40% of LMICs, but where offered is fairly consistent with guidelines. Governments should enact policies to reimburse CR so patients do not pay out-of-pocket.pt_BR
dc.description.sponsorshipOutra Agênciapt_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.ispartofHeartpt_BR
dc.rightsAcesso Restritopt_BR
dc.subjectCardiac rehabilitationpt_BR
dc.subjectHealth programspt_BR
dc.subjectLow / middle-income countriespt_BR
dc.subject.otherReabilitação cardíacapt_BR
dc.subject.otherPolíticias de saúdept_BR
dc.subject.otherPaíses emergentespt_BR
dc.titleCardiac rehabilitation delivery in low/middle-income countriespt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://heart.bmj.com/content/105/23/1806.longpt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-4162-7761pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-8082-7221pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-9533-3654pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0003-1084-0137pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7179-5558pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0003-4131-2863pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-8879-177Xpt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-0603-6958pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610pt_BR
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