Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/42118
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Campo DCValorIdioma
dc.creatorGabriela Suéllen da Silva Chavespt_BR
dc.creatorGabriela Lima de Melo Ghisipt_BR
dc.creatorRaquel Rodrigues Brittopt_BR
dc.creatorThaianne Cavalcante Sérviopt_BR
dc.creatorRobert Cribbiept_BR
dc.creatorQuinn Packpt_BR
dc.creatorSherry Gracept_BR
dc.date.accessioned2022-05-31T16:35:57Z-
dc.date.available2022-05-31T16:35:57Z-
dc.date.issued2020-07-
dc.citation.volume29pt_BR
dc.citation.issue7pt_BR
dc.citation.spagee111pt_BR
dc.citation.epagee120pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.hlc.2019.09.006pt_BR
dc.identifier.issn1444-2892pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/42118-
dc.description.resumoBackground: Cardiac rehabilitation (CR) is insufficiently available; even less so in low-resource settings. Health care administrators (HAs) are responsible for ensuring CR programs are offered and resourced. This study compared HA CR attitudes in North and South America, the contextual factors associated with these attitudes, and developed a scale/survey to assess them with global applicability. Methods: Data were retrospectively analysed from three cross-sectional studies: in (1) 195 HAs from Canada (i.e., North America), (2) 44 HAs from seven South American countries, and (3) 43 HAs from Brazil (all South America). Contextual and perceptual/attitudinal items (five-point Likert scale, with higher scores indicating more positive attitudes) were compared by region. Psychometric properties of items were tested. A literature review was performed, and items generated for content validation by experts. Results: The most negative CR attitudes related to government funding models (mean=2.46±1.14/5), and that patients have responsibility for their disease management (3.03±1.25). North American HAs rated their institutions’ perceptions of the importance of CR (p<0.001) and quality of the local program (p<0.001) higher than their South American counterparts, but rated the utility of CR in lowering length of stay (p<0.001), promoting behaviour change (p<0.05) and the need for more government funding (p<0.05) lower, among others. Total attitude scores were positively associated with CR knowledge/awareness in both cohorts (all p<0.01). North American HAs more often perceived CR should be funded by hospitals (p<0.001) than South Americans. A 39-item HA CR Attitudes (HACRA-R) scale was developed. Conclusions: Health care administrators’ perceptions vary by context, which could impact CR resourcing.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.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.ispartofHeart, Lung and Circulationpt_BR
dc.rightsAcesso Restritopt_BR
dc.subjectCoronary artery diseasept_BR
dc.subjectPatient care managementpt_BR
dc.subjectAttitudespt_BR
dc.subjectQuestionnairespt_BR
dc.subjectPsychometric validationpt_BR
dc.subjectReferralpt_BR
dc.subjectCardiac rehabilitationpt_BR
dc.subject.otherArteriosclerose coronáriapt_BR
dc.subject.otherCuidados médicospt_BR
dc.subject.otherAtitudespt_BR
dc.subject.otherQuestionáriospt_BR
dc.subject.otherReabilitação cardíacapt_BR
dc.titleHealth Care Administrators' Cardiac Rehabilitation Attitudes (HACRA) in North and South America and the development of a scale to assess thempt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S1443950619314520?via%3Dihub#!pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-7737-8015pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7946-3718pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0002-9533-3654pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-9247-497Xpt_BR
dc.identifier.orcidhttp://orcid.org/0000-0001-7063-3610pt_BR
Aparece en las colecciones:Artigo de Periódico

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