Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2019 |
| Outros Autores: | , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFMG |
| Texto Completo: | https://doi.org/10.1016/j.bjpt.2019.02.011 http://hdl.handle.net/1843/41157 http://orcid.org/0000-0002-9533-3654 https://orcid.org/ 0000-0002-5178-8315 https://orcid.org/ 0000-0002-4162-7761 https://orcid.org/ 0000-0002-7908-7836 https://orcid.org/0000-0003-4400-2326 https://orcid.org/ 0000-0001-9263-5916 https://orcid.org/ 0000-0001-7063-3610 |
Resumo: | CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
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2022-04-26T17:47:44Z2022-04-26T17:47:44Z2019-03242167176https://doi.org/10.1016/j.bjpt.2019.02.0111413-3555http://hdl.handle.net/1843/41157http://orcid.org/0000-0002-9533-3654https://orcid.org/ 0000-0002-5178-8315https://orcid.org/ 0000-0002-4162-7761https://orcid.org/ 0000-0002-7908-7836https://orcid.org/0000-0003-4400-2326https://orcid.org/ 0000-0001-9263-5916https://orcid.org/ 0000-0001-7063-3610CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorOutra AgênciaBackground: Brazil has insufficient cardiac rehabilitation capacity, yet density and regional variation in unmet need is unknown. Moreover, South America has CR guidelines, but whether delivery conforms has not been described. Objective: This study aimed to establish: (1) cardiac rehabilitation volumes and density, and (2) the nature of programmes, and (3) compare these by: (a) Brazilian region and (b) to other upper middle-income countries (upper-MICs). Methods: In this cross-sectional study, a survey was administered to cardiac rehabilitation programmes globally. Cardiac associations were engaged to facilitate programme identification. Density was computed using Global Burden of Disease study ischaemic heart disease incidence estimates. Results were compared to data from the 29 upper-MICs with cardiac rehabilitation (N=249 programmes). Results: Cardiac rehabilitation was available in all Brazilian regions, with 30/75 programmes initiating a survey (40.0% programme response rate). There was only one cardiac rehabilitation spot for every 99 ischaemic heart disease patient. Most programmes were funded by government/hospital sources (n=16, 53.3%), but in 11 programmes (36.7%) patients depended on private health insurance. Guideline-indicated conditions were accepted in ≥70% of programmes. Programmes had a team of 3.8±1.9 staff (versus 5.9±2.8 in other upper-MICs, p<0.05), offering 4.0±1.6/10 core components (versus 6.0±1.5 in other upper-MICs, p<0.01; more tobacco cessation and return-to-work counselling needed in particular) over 44.5 sessions/patient (Q25–75=29–65) vs. 32 sessions/patient (Q25–75=15–40) in other upper-MICs (p<0.01). Conclusion: Brazilian cardiac rehabilitation capacity must be augmented, but where available, services are consistent across regions, but differ from other upper-MICs in terms of staff size and core components delivered.engUniversidade Federal de Minas GeraisUFMGBrasilEEF - DEPARTAMENTO DE FISIOTERAPIABrazilian Journal of Physical TherapyReabilitação cardíacaServiços de saúdeRenda nacionalBrasilRehabilitationAvailabilityHealth servicesUpper-middle income countryCardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countriesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://www.rbf-bjpt.org.br/en-cardiac-rehabilitation-availability-delivery-in-articulo-S1413355518309456Raquel Rodrigues BrittoMarta SuperviaKaram Turk-AdawiGabriela Suéllen da Silva ChavesElla PesahFrancisco Lopez-JimenezDanielle Aparecida Gomes PereiraArtur Haddad HerdySherry Graceapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/41157/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALCardiac rehabilitation availability and delivery in Brazil.pdfCardiac rehabilitation availability and delivery in Brazil.pdfapplication/pdf637905https://repositorio.ufmg.br/bitstream/1843/41157/2/Cardiac%20rehabilitation%20availability%20and%20delivery%20in%20Brazil.pdf3db675a71123a25000e39b1309a382e3MD521843/411572022-04-26 14:47:44.605oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-04-26T17:47:44Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
| dc.title.pt_BR.fl_str_mv |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries |
| title |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries |
| spellingShingle |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries Raquel Rodrigues Britto Rehabilitation Availability Health services Upper-middle income country Reabilitação cardíaca Serviços de saúde Renda nacional Brasil |
| title_short |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries |
| title_full |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries |
| title_fullStr |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries |
| title_full_unstemmed |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries |
| title_sort |
Cardiac rehabilitation availability and delivery in Brazil: a comparison to other upper middle-income countries |
| author |
Raquel Rodrigues Britto |
| author_facet |
Raquel Rodrigues Britto Marta Supervia Karam Turk-Adawi Gabriela Suéllen da Silva Chaves Ella Pesah Francisco Lopez-Jimenez Danielle Aparecida Gomes Pereira Artur Haddad Herdy Sherry Grace |
| author_role |
author |
| author2 |
Marta Supervia Karam Turk-Adawi Gabriela Suéllen da Silva Chaves Ella Pesah Francisco Lopez-Jimenez Danielle Aparecida Gomes Pereira Artur Haddad Herdy Sherry Grace |
| author2_role |
author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Raquel Rodrigues Britto Marta Supervia Karam Turk-Adawi Gabriela Suéllen da Silva Chaves Ella Pesah Francisco Lopez-Jimenez Danielle Aparecida Gomes Pereira Artur Haddad Herdy Sherry Grace |
| dc.subject.por.fl_str_mv |
Rehabilitation Availability Health services Upper-middle income country |
| topic |
Rehabilitation Availability Health services Upper-middle income country Reabilitação cardíaca Serviços de saúde Renda nacional Brasil |
| dc.subject.other.pt_BR.fl_str_mv |
Reabilitação cardíaca Serviços de saúde Renda nacional Brasil |
| description |
CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
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2019 |
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2019-03 |
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2022-04-26T17:47:44Z |
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2022-04-26T17:47:44Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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http://hdl.handle.net/1843/41157 |
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https://doi.org/10.1016/j.bjpt.2019.02.011 |
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1413-3555 |
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http://orcid.org/0000-0002-9533-3654 https://orcid.org/ 0000-0002-5178-8315 https://orcid.org/ 0000-0002-4162-7761 https://orcid.org/ 0000-0002-7908-7836 https://orcid.org/0000-0003-4400-2326 https://orcid.org/ 0000-0001-9263-5916 https://orcid.org/ 0000-0001-7063-3610 |
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1413-3555 |
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eng |
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eng |
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Brazilian Journal of Physical Therapy |
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openAccess |
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Universidade Federal de Minas Gerais |
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Universidade Federal de Minas Gerais |
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