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http://hdl.handle.net/1843/47983
Type: | Artigo de Periódico |
Title: | Availability and characteristics of cardiac rehabilitation programs in one Brazilian state: a cross-sectional study |
Authors: | Thaianne Cavalcante Sérvio Gabriela Lima de Melo Ghisi Lilian Pinto da Silva Luciana Duarte Novais Silva Marcia Maria Oliveira Lima Danielle Aparecida Gomes Pereira Sherry Grace Raquel Rodrigues Britto |
Abstract: | Background: Cardiac rehabilitation (CR) is a recommended model of care for cardiovascular diseases; however, is not widely available and is underutilized, especially in low- and middle-income countries. Objectives: To identify the CR programs available in one Brazilian state (Minas Gerais; MG) and describe their characteristics by funding type. Methods: In this multi-center descriptive study, CR programs were identified in four MG regions and 41 CR coordinators were sent a survey to report the characteristics of their programs, including CR components described in guidelines and barriers to patients’ participation. Descriptive and comparative analysis between public and private programs were carried out. Results: Forty-one CR programs were identified, only 21.9% public. Nineteen completed the survey. The majority of CR programs offered initial assessment and physical training. Components of comprehensive CR programs that were rarely offered included treatment of tobacco dependence, psychological support and lipid control. Physical therapists were present in all CR programs. The six-minute walk test was used in most programs to assess functional capacity. Programs were located intra-hospital only in public hospitals. Phase 2 (initial outpatient) and phase 4 (maintenance) were offered significantly more in private programs when compared to public ones. The main barrier for CR participation was the lack of referral. Conclusions: The availability of CR programs in MG state is low, especially public programs. Most programs do not offer all core components of CR. |
Subject: | Doenças cardiovasculares Reabilitação cardíaca Acesso aos serviços de saúde |
language: | eng |
metadata.dc.publisher.country: | Brasil |
Publisher: | Universidade Federal de Minas Gerais |
Publisher Initials: | UFMG |
metadata.dc.publisher.department: | EEF - DEPARTAMENTO DE FISIOTERAPIA |
Rights: | Acesso Restrito |
metadata.dc.identifier.doi: | https://doi.org/10.1016/j.bjpt.2018.03.005 |
URI: | http://hdl.handle.net/1843/47983 |
Issue Date: | Sep-2018 |
metadata.dc.url.externa: | https://www.sciencedirect.com/science/article/pii/S1413355517304537?via%3Dihub |
metadata.dc.relation.ispartof: | Brazilian Journal of Physical Therapy |
Appears in Collections: | Artigo de Periódico |
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