Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients

Página do item simplificado
dc.creatorThaianne Cavalcante Sérvio
dc.creatorRaquel Rodrigues Britto
dc.creatorGabriela Lima de Melo Ghisi
dc.creatorLilian Pinto da Silva
dc.creatorLuciana Duarte Novais Silva
dc.creatorMárcia Maria Oliveira Lima
dc.creatorDanielle Aparecida Gomes Pereira
dc.creatorSherry Grace
dc.date.accessioned2022-03-17T14:10:38Z
dc.date.accessioned2025-09-09T00:36:53Z
dc.date.available2022-03-17T14:10:38Z
dc.date.issued2019
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.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s12913-019-4463-9
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/1843/40180
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBMC Health Services Research
dc.rightsAcesso Aberto
dc.subjectServiços de saúde
dc.subjectReabilitação cardíaca
dc.subjectCuidados médicos
dc.subjectPessoal da área médica
dc.subject.otherHealth care services
dc.subject.otherCardiac rehabilitation
dc.subject.otherCardiac care facilities
dc.subject.otherAttitude of health personnel
dc.titleBarriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients
dc.typeArtigo de periódico
local.citation.epage10
local.citation.spage1
local.citation.volume19
local.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.
local.identifier.orcidhttps://orcid.org/ 0000-0002-9533-3654
local.identifier.orcidhttps://orcid.org/ 0000-0001-7946-3718
local.identifier.orcidhttps://orcid.org/0000-0002-9352-1504
local.identifier.orcidhttps://orcid.org/ 0000-0002-1200-5680
local.identifier.orcidhttps://orcid.org/ 0000-0003-4400-2326
local.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719378/

Arquivos

Pacote original

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
Barriers to cardiac rehabilitation delivery in a low-resource.pdf
Tamanho:
642.29 KB
Formato:
Adobe Portable Document Format
Baixar

Licença do pacote

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
License.txt
Tamanho:
1.99 KB
Formato:
Plain Text
Descrição:
Baixar

Coleções

Artigo de Periódico

Logo UFMG