Cardiac Rehabilitation During COVID-19 Pandemic: Highlighting the Value of Home-Based Programs
Cardiac Rehabilitation During COVID-19 Pandemic: Highlighting the Value of Home-Based Programs
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DOI：
10.1089/tmj.2020.0213
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发表时间：
2020-06-17
影响因子：
4.7
通讯作者：
El Accaoui, Ramzi N.
中科院分区：
文献类型：
--
作者：
Drwal, Kariann R.;Forman, Daniel E.;El Accaoui, Ramzi N.
心脏康复（CR）是心血管疾病的I类治疗，然而，这些服务的利用率仍然不足。已实施家庭CR（HBCR）模式，作为解决CR服务准入障碍的潜在解决方案。基于家庭的模式已被证明是有效的，但是，仍然有很大的变化的协议和最小的证据，在较高的风险人群的有效性。此外，缺乏报销模式阻碍了HBCR的广泛采用。在2019冠状病毒病（COVID-19）大流行期间，由于现场服务的可用性下降，CR护理的缺口更大。2019冠状病毒病大流行为临床医生寻找继续提供护理的方法提供了一个强调家庭模式价值和体验的时机。HBCR模型的持续审查和标准化对于为更广泛的患者和情况提供护理至关重要。
Cardiac rehabilitation (CR) is a class I treatment for cardiovascular disease, however, underutilization of these services remains. Home-based CR (HBCR) models have been implemented as a potential solution to addressing access barriers to CR services. Home-based models have been shown to be effective, however, there continues to be large variation of protocols and minimal evidence of effectiveness in higher risk populations. In addition, lack of reimbursement models has discouraged the widespread adoption of HBCR. During the coronavirus 2019 (COVID-19) pandemic, an even greater gap in CR care has been present due to decreased availability of on-site services. The COVID-19 pandemic presents a time to highlight the value and experiences of home-based models as clinicians search for ways to continue to provide care. Continued review and standardization of HBCR models are essential to provide care for a wider range of patients and circumstances.