TY - JOUR
T1 - Cardiac Rehabilitation Delivery Model for Low-Resource Settings
T2 - An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement
AU - Grace, Sherry L.
AU - Turk-Adawi, Karam I.
AU - Contractor, Aashish
AU - Atrey, Alison
AU - Campbell, Norman R.C.
AU - Derman, Wayne
AU - Ghisi, Gabriela L.M.
AU - Sarkar, Bidyut K.
AU - Yeo, Tee J.
AU - Lopez-Jimenez, Francisco
AU - Buckley, John
AU - Hu, Dayi
AU - Sarrafzadegan, Nizal
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - 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.
AB - 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.
KW - Cardiac rehabilitation
KW - Community health
KW - Delivery models
KW - Middle-income countries
KW - Primary care
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U2 - 10.1016/j.pcad.2016.08.004
DO - 10.1016/j.pcad.2016.08.004
M3 - Review article
C2 - 27542575
AN - SCOPUS:84994504384
VL - 59
SP - 303
EP - 322
JO - Progress in Cardiovascular Diseases
JF - Progress in Cardiovascular Diseases
SN - 0033-0620
IS - 3
ER -