Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result
Abstract Background Cardiac rehabilitation (CR) is an essential component in secondary prevention of cardiovascular diseases. Current guidelines recommend that the program should be comprehensive including multidisciplinary behavioral intervention, not only exercise training. While the utilization o...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03204-z |
| _version_ | 1797850238163091456 |
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| author | Jidong Sung Chul Kim Jae-Young Han Sungju Jee Jang Woo Lee Jong Hwa Lee Won-Seok Kim Heui Je Bang Sora Baek Kyung-Lim Joa Ae Ryoung Kim So Young Lee Jihee Kim Chung Reen Kim Oh Pum Kwon |
| author_facet | Jidong Sung Chul Kim Jae-Young Han Sungju Jee Jang Woo Lee Jong Hwa Lee Won-Seok Kim Heui Je Bang Sora Baek Kyung-Lim Joa Ae Ryoung Kim So Young Lee Jihee Kim Chung Reen Kim Oh Pum Kwon |
| author_sort | Jidong Sung |
| collection | DOAJ |
| description | Abstract Background Cardiac rehabilitation (CR) is an essential component in secondary prevention of cardiovascular diseases. Current guidelines recommend that the program should be comprehensive including multidisciplinary behavioral intervention, not only exercise training. While the utilization of CR is gradually increasing, the comprehensiveness of the program has not been systemically evaluated in Korea. Methods During the year 2020, nation-wide survey was done to evaluate the current status of CR in Korea. Survey was done by web-based structured questionnaire. Survey was requested to 164 hospitals performing percutaneous coronary intervention. Results Among 164 hospitals, 47 (28.7%) hospitals had CR programs. In hospitals with CR, multidisciplinary intervention other than exercise-based program was provided only partially: nutritional counseling (63%), vocational counseling for return to work (39%), stress management (31%), psychological evaluation (18%). Personnel for CR was commonly not dedicated to the program or even absent: (percentage of dedicated, concurrent with other work, absent) physical therapist (59, 41, 0%), nurse (31, 69, 0%), dietician (6, 65, 29%), clinical psychologist (0, 37, 63%). Conclusion Comprehensiveness of CR in Korea is suboptimal and human resource for it is poorly disposed. More awareness of current status by both clinicians and health policy makers is needed and insurance reimbursement for educational program should be improved. |
| first_indexed | 2024-04-09T18:57:09Z |
| format | Article |
| id | doaj.art-7e9cf30b83d3412b863f6d220eda2181 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T18:57:09Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-7e9cf30b83d3412b863f6d220eda21812023-04-09T11:07:27ZengBMCBMC Cardiovascular Disorders1471-22612023-04-012311610.1186/s12872-023-03204-zComprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey resultJidong Sung0Chul Kim1Jae-Young Han2Sungju Jee3Jang Woo Lee4Jong Hwa Lee5Won-Seok Kim6Heui Je Bang7Sora Baek8Kyung-Lim Joa9Ae Ryoung Kim10So Young Lee11Jihee Kim12Chung Reen Kim13Oh Pum Kwon14Division of Cardiology, Department of Medicine, Sungkyunkwan University School of MedicineDepartment of Rehabilitation Medicine, Inje University Sanggye Paik HospitalDepartment of Physical Medicine and Rehabilitation, Chonnam National University Medical School and HospitalDepartment of Rehabilitation Medicine, Chungnam National University College of MedicineDepartment of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan HospitalDepartment of Physical Medicine and Rehabilitation, Dong A University College of MedicineDepartment of Rehabilitation Medicine, Seoul National University Bundang HospitalDepartment of Rehabilitation Medicine, Chungbuk National University HospitalDepartment of Rehabilitation Medicine, Kangwon National University School of MedicineDepartment of Rehabilitation Medicine, Inha University HospitalDepartment of Rehabilitation Medicine, School of Medicine, Kyungpook National UniversityDepartment of Rehabilitation Medicine, Jeju National University School of MedicineDepartment of Rehabilitation Medicine, Wonkwang University School of MedicineDepartment of Rehabilitation Medicine, Ulsan University College of MedicineDepartment of Rehabilitation Medicine, Seoul National University Bundang HospitalAbstract Background Cardiac rehabilitation (CR) is an essential component in secondary prevention of cardiovascular diseases. Current guidelines recommend that the program should be comprehensive including multidisciplinary behavioral intervention, not only exercise training. While the utilization of CR is gradually increasing, the comprehensiveness of the program has not been systemically evaluated in Korea. Methods During the year 2020, nation-wide survey was done to evaluate the current status of CR in Korea. Survey was done by web-based structured questionnaire. Survey was requested to 164 hospitals performing percutaneous coronary intervention. Results Among 164 hospitals, 47 (28.7%) hospitals had CR programs. In hospitals with CR, multidisciplinary intervention other than exercise-based program was provided only partially: nutritional counseling (63%), vocational counseling for return to work (39%), stress management (31%), psychological evaluation (18%). Personnel for CR was commonly not dedicated to the program or even absent: (percentage of dedicated, concurrent with other work, absent) physical therapist (59, 41, 0%), nurse (31, 69, 0%), dietician (6, 65, 29%), clinical psychologist (0, 37, 63%). Conclusion Comprehensiveness of CR in Korea is suboptimal and human resource for it is poorly disposed. More awareness of current status by both clinicians and health policy makers is needed and insurance reimbursement for educational program should be improved.https://doi.org/10.1186/s12872-023-03204-zCardiac rehabilitationComprehensive health careHealth education |
| spellingShingle | Jidong Sung Chul Kim Jae-Young Han Sungju Jee Jang Woo Lee Jong Hwa Lee Won-Seok Kim Heui Je Bang Sora Baek Kyung-Lim Joa Ae Ryoung Kim So Young Lee Jihee Kim Chung Reen Kim Oh Pum Kwon Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result BMC Cardiovascular Disorders Cardiac rehabilitation Comprehensive health care Health education |
| title | Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result |
| title_full | Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result |
| title_fullStr | Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result |
| title_full_unstemmed | Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result |
| title_short | Comprehensiveness of cardiac rehabilitation program in Korea: a nation-wide survey result |
| title_sort | comprehensiveness of cardiac rehabilitation program in korea a nation wide survey result |
| topic | Cardiac rehabilitation Comprehensive health care Health education |
| url | https://doi.org/10.1186/s12872-023-03204-z |
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