Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017-2018.
Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017-2018.
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DOI：
10.5888/pcd20.220324
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发表时间：
2023-04-13
影响因子：
5.5
通讯作者：
Pergolski A
中科院分区：
文献类型：
--
作者：
Peacock JM;Styles E;Johnson S;Galos D;Frumholtz M;Leth S;Pergolski A
心脏康复（CR）是一项循证二级预防计划，旨在改善心脏事件后的心血管健康。我们研究的目的是确定明尼苏达州公共和私人保险人群在 CR 使用方面的差距，以协助公共卫生、心脏康复专业人员和项目实施地点制定共同目标，以改善 CR 实施。我们将已发布的基于索赔的监测方法应用于明尼苏达州所有付款人索赔数据库，以评估 2017 年发生合格事件的患者的 CR 资格、启动、参与和完成情况。我们按社会人口统计学和地理因素以及合格条件对结果进行分层，并使用调整后的患病率进行统计比较。不到一半 (47.6%) 的合格患者在合格事件发生后 1 年内开始 CR；男性（相对于女性）、45 至 64 岁的成年人（相对于≥65 岁）以及拥有商业或医疗补助保险的患者（相对于医疗保险），该比例较高。在发起 CR 的人中，只有 14.0% 完成了完整系列的 36 节课程。 18 至 64 岁的成年人（对比 65-74 岁）和医疗补助覆盖的患者（对比 Medicare）参加至少 12 次疗程和完成 36 次疗程的可能性较小。 CR 发起、参与和完成的模式也因地理位置而异。该分析扩展了之前的医疗保险按服务收费人口 CR 监测，并首次详细介绍了明尼苏达州的 CR 情况，重新引起人们对 CR 作为关键二级预防策略的关注。与合作伙伴的合作和共享使明尼苏达州卫生部成为推动卫生系统变革以改善明尼苏达州 CR 公平提供的宝贵合作伙伴。
Cardiac rehabilitation (CR) is an evidence-based secondary prevention program designed to improve cardiovascular health after a cardiac event. The objective of our study was to identify gaps in CR use among publicly and privately insured people in Minnesota to assist in developing shared goals among public health, cardiac rehabilitation professionals, and program delivery sites to improve CR delivery. We applied a published claims-based surveillance methodology to the Minnesota All Payer Claims Database to assess eligibility for, initiation of, participation in, and completion of CR by patients with qualifying events in 2017. We stratified results by sociodemographic and geographic factors and qualifying condition and used adjusted prevalence ratios to make statistical comparisons. Less than half (47.6%) of qualifying patients initiated CR within 1 year of their qualifying event; the rate was higher among men (vs women), adults aged 45 to 64 years (vs ≥65 y), and patients with commercial or Medicaid insurance coverage (vs Medicare). Among those who initiated CR, only 14.0% completed the full series of 36 sessions. Participation in at least 12 sessions and completion of 36 sessions was less likely among adults aged 18 to 64 (vs 65–74 y) and among patients covered by Medicaid (vs Medicare). Patterns of CR initiation, participation, and completion also varied geographically. This analysis expands on previous Medicare fee-for-service population CR surveillance and provides a first detailed look at the CR landscape in Minnesota, renewing attention to CR as a key secondary prevention strategy. Collaboration and sharing with partners has established the Minnesota Department of Health as a valuable partner in driving health system change to improve equitable provision of CR in Minnesota.
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DOI：
10.1097/hcr.0000000000000706
发表时间：
2022-11-01
影响因子：
3.8
作者：
Thompson, Michael P.;Yaser, Jessica M.;Sukul, Devraj
通讯作者：
Sukul, Devraj
影响因子：
8.9
作者：
Ades PA;Keteyian SJ;Wright JS;Hamm LF;Lui K;Newlin K;Shepard DS;Thomas RJ
通讯作者：
Thomas RJ
DOI：
10.1161/circoutcomes.121.008242
发表时间：
2021-11-01
影响因子：
6.9
作者：
Sukul, Devraj;Seth, Milan;Gurm, Hitinder S.
通讯作者：
Gurm, Hitinder S.
DOI：
10.1161/circoutcomes.122.009618
发表时间：
2022-12
影响因子：
6.9
作者：
Varghese, Merilyn S.;Beatty, Alexis L.;Song, Yang;Xu, Jiaman;Sperling, Laurence S.;Fonarow, Gregg C.;Keteyian, Steven J.;McConeghy, Kevin W.;Penko, Joanne;Yeh, Robert W.;Figueroa, Jose F.;Wu, Wen-Chih;Kazi, Dhruv S.
通讯作者：
Kazi, Dhruv S.
跟踪医疗保险受益人之间的心脏康复参与和完成，以告知国家倡议的努力。
DOI：
10.1161/circoutcomes.119.005902
发表时间：
2020-01
期刊：
Circulation. Cardiovascular quality and outcomes
影响因子：
--
作者：
Ritchey MD;Maresh S;McNeely J;Shaffer T;Jackson SL;Keteyian SJ;Brawner CA;Whooley MA;Chang T;Stolp H;Schieb L;Wright J
通讯作者：
Wright J