Cardiac Rehabilitation Delivery Model for Low-Resource Settings: An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement.
Journal: Progress in cardiovascular diseases
Volume: 59
Issue: 3
Year of Publication: 2017
Affiliated Institutions:
School of Kinesiology and Health Science, Bethune , York University, Keele Street, Toronto, Ontario, MJ P, Canada; Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada; International Council of Cardiovascular Prevention and Rehabilitation. Electronic address: sgrace@yorku.ca.
School of Health Policy and Management, York University, Keele Street, Toronto, Ontario, MJ P, Canada.
Rehabilitation and Sports Medicine, Sir H.N. Reliance Foundation Hospital, Raja Ram Mohan Roy Road, Mumbai, , India; International Council of Cardiovascular Prevention and Rehabilitation.
Imperial College, Bar Close, Stapleford, Cambridgeshire, CB BY.
Libin Cardiovascular Institute of Alberta, University of Calgary, Hospital Drive NW, Calgary, Alberta, TN Z, Canada.
Institute of Sport & Exercise Medicine (SEM) within the Faculty of Medicine & Health Sciences at the University of Stellenbosch, Cape Town, South Africa.
School of Kinesiology and Health Science, Bethune , York University, Keele Street, Toronto, Ontario, MJ P, Canada.
Research Division, Public Health Foundation of India, ISID Campus, Vasant Kunj, New Delhi, India.
Department of Cardiology, National University Heart Centre, Lower Kent Ridge Rd, Singapore .
Cardiovascular Health Clinic and Cardiometabolic Program at Mayo Clinic, Rochester, MN, USA.
Institute of Medicine, University Centre Shrewsbury, UK; International Council of Cardiovascular Prevention and Rehabilitation.
People Hospital of Peking University, # Xizhimen S. Ave, Beijing, , China.
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Khorram Ave, PO Box -, Isfahan, Iran.
Abstract summary
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.
Authors & Co-authors:
Grace Sherry L SL
Turk-Adawi Karam I KI
Contractor Aashish A
Atrey Alison A
Campbell Norman R C NR
Derman Wayne W
Ghisi Gabriela L M GL
Sarkar Bidyut K BK
Yeo Tee J TJ
Lopez-Jimenez Francisco F
Buckley John J
Hu Dayi D
Sarrafzadegan Nizal N
Study Outcome
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