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Challenges and solutions to implementing cardiac rehabilitation in a low- and middle-income country.
Babu, Abraham Samuel; Bhat, Vibha; Jose, Prinu; Padickaparambil, Sebastian; Padmakumar, Ramachandran; Jeemon, Panniyammakal.
Afiliación
  • Babu AS; Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
  • Bhat V; Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
  • Jose P; Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvanathapuram, Kerala, India.
  • Padickaparambil S; Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
  • Padmakumar R; Department of Cardiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
  • Jeemon P; Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvanathapuram, Kerala, India.
Expert Rev Cardiovasc Ther ; 22(8): 421-428, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39009570
ABSTRACT

BACKGROUND:

Cardiac rehabilitation (CR) remains greatly underutilized, especially in low- and middle-income countries (LMIC). It is therefore important to explore factors that contribute to this, as perceived by health-care professionals (HCPs). RESEARCH DESIGN AND

METHODS:

This was a qualitative study using in-depth interviews that enrolled 18 HCPs (i.e. six each of physicians, physiotherapists, and nurses; mean experience in CR 17.9 ± 11.8 yrs) working in cardiovascular care, and CR across private and government hospitals (both teaching and non-teaching) in India.

RESULTS:

The main challenges were related to lack of referrals, perceived lack of benefit from CR, poor infrastructure within hospitals and health systems, and differences in practice. The perceived inadequacies were lack of competencies in CR, limited task sharing strategies, and ineffective utilization of existing human resources. Devising strategies to improve awareness and competencies, facilitating task sharing, and remodeling holistic care with an active CR component may be beneficial to facilitate greater implementation of CR in India.

CONCLUSIONS:

Challenges, inadequacies, and solutions to implementing CR have been explored by involving various HCPs commonly involved in delivering CR across different health systems in a LMIC. TRIAL REGISTRATION www.ctri.nic.in with identifier CTRI/2020/07/026807.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Rehabilitación Cardiaca Límite: Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Expert Rev Cardiovasc Ther Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Rehabilitación Cardiaca Límite: Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Expert Rev Cardiovasc Ther Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Reino Unido