Cardiac Rehabilitation Delivery Model for Low-Resource Settings: An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement

Abstract Cardiovascular disease (CVD) is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be efficacious and cost-effective for secondary prevention in high-income countries. Given its affordability, CR should be more broadly implemented in middle-incom...

Full description

Saved in:
Bibliographic Details
Published in:Progress in cardiovascular diseases 2016-11, Vol.59 (3), p.303-322
Main Authors: Grace, Sherry L, Turk-Adawi, Karam I, Contractor, Aashish, Atrey, Alison, Campbell, Norman R.C, Derman, Wayne, Ghisi, Gabriela L.M, Sarkar, Bidyut K, Yeo, Tee J, Lopez-Jimenez, Francisco, Buckley, John, Hu, Dayi, Sarrafzadegan, Nizal
Format: Article
Language:English
Subjects:
Cardiac rehabilitation
Cardiovascular
Community health
Delivery models
Middle-income countries
Primary care
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Cardiovascular disease (CVD) is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be efficacious and cost-effective for secondary prevention in high-income countries. Given its affordability, CR should be more broadly implemented in middle-income countries as well. Hence, the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) convened a writing panel to recommend strategies to deliver all core CR components in low-resource settings, namely: (1) initial assessment, (2) lifestyle risk factor management (i.e., diet, tobacco, mental health), (3) medical risk factor management (lipids, blood pressure), (4) education for self-management; (5) return to work; and (6) outcome evaluation. Approaches to delivering these components in alternative, arguably lower-cost settings, such as the home, community and primary care, are provided. Recommendations on delivering each of these components where the most-responsible CR provider is a non-physician, such as an allied healthcare professional or community health care worker, are also provided.
ISSN:0033-0620
1532-8643
DOI:10.1016/j.pcad.2016.08.004