Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries

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dc.creatorRaquel Rodrigues Britto
dc.creatorMarta Supervia
dc.creatorKaram Turk-Adawi
dc.creatorGabriela Suéllen da Silva Chaves
dc.creatorElla Pesah
dc.creatorFrancisco Lopez-Jimenez
dc.creatorDanielle Aparecida Gomes Pereira
dc.creatorArtur Haddad Herdy
dc.creatorSherry Grace
dc.date.accessioned2022-04-26T17:47:44Z
dc.date.accessioned2025-09-09T01:03:46Z
dc.date.available2022-04-26T17:47:44Z
dc.date.issued2019-03
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.description.sponsorshipOutra Agência
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.bjpt.2019.02.011
dc.identifier.issn1413-3555
dc.identifier.urihttps://hdl.handle.net/1843/41157
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBrazilian Journal of Physical Therapy
dc.rightsAcesso Aberto
dc.subjectReabilitação cardíaca
dc.subjectServiços de saúde
dc.subjectRenda nacional
dc.subjectBrasil
dc.subject.otherRehabilitation
dc.subject.otherAvailability
dc.subject.otherHealth services
dc.subject.otherUpper-middle income country
dc.titleCardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries
dc.typeArtigo de periódico
local.citation.epage176
local.citation.issue2
local.citation.spage167
local.citation.volume24
local.description.resumoBackground: Brazil has insufficient cardiac rehabilitation capacity, yet density and regional variation in unmet need is unknown. Moreover, South America has CR guidelines, but whether delivery conforms has not been described. Objective: This study aimed to establish: (1) cardiac rehabilitation volumes and density, and (2) the nature of programmes, and (3) compare these by: (a) Brazilian region and (b) to other upper middle-income countries (upper-MICs). Methods: In this cross-sectional study, a survey was administered to cardiac rehabilitation programmes globally. Cardiac associations were engaged to facilitate programme identification. Density was computed using Global Burden of Disease study ischaemic heart disease incidence estimates. Results were compared to data from the 29 upper-MICs with cardiac rehabilitation (N=249 programmes). Results: Cardiac rehabilitation was available in all Brazilian regions, with 30/75 programmes initiating a survey (40.0% programme response rate). There was only one cardiac rehabilitation spot for every 99 ischaemic heart disease patient. Most programmes were funded by government/hospital sources (n=16, 53.3%), but in 11 programmes (36.7%) patients depended on private health insurance. Guideline-indicated conditions were accepted in ≥70% of programmes. Programmes had a team of 3.8±1.9 staff (versus 5.9±2.8 in other upper-MICs, p<0.05), offering 4.0±1.6/10 core components (versus 6.0±1.5 in other upper-MICs, p<0.01; more tobacco cessation and return-to-work counselling needed in particular) over 44.5 sessions/patient (Q25–75=29–65) vs. 32 sessions/patient (Q25–75=15–40) in other upper-MICs (p<0.01). Conclusion: Brazilian cardiac rehabilitation capacity must be augmented, but where available, services are consistent across regions, but differ from other upper-MICs in terms of staff size and core components delivered.
local.identifier.orcidhttp://orcid.org/0000-0002-9533-3654
local.identifier.orcidhttps://orcid.org/ 0000-0002-5178-8315
local.identifier.orcidhttps://orcid.org/ 0000-0002-4162-7761
local.identifier.orcidhttps://orcid.org/ 0000-0002-7908-7836
local.identifier.orcidhttps://orcid.org/0000-0003-4400-2326
local.identifier.orcidhttps://orcid.org/ 0000-0001-9263-5916
local.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttp://www.rbf-bjpt.org.br/en-cardiac-rehabilitation-availability-delivery-in-articulo-S1413355518309456

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