Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea

Kim, Chul; Sung, Jidong; Han, Jae‐Young; Jee, Sungju; Lee, Jang Woo; Lee, Jong Hwa; Kim, Won‐Seok; Bang, Heui Je; Baek, Sora; Joa, Kyung-Lim; Kim, Ae Ryoung; Lee, So Young; Kim, Jihee; Kim, Chung Reen; Kwon, Oh Pum

doi:10.3390/jcm10215079

Cited by 19 publications

(25 citation statements)

References 27 publications

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“…Since 2008, the Ministry of Health and Welfare has designated 14 Regional Cardiocerebrovascular Centers nationwide and made the CR program mandatory to reduce regional variations and promote the distribution of CR. 17 Since February 2017, CR has been reimbursed by the National Health Insurance Service. In 2019, a highly qualified clinical practice guideline for CR tailored to the situation in Korea was published.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Current Resources Available for Community-Based Cardiac Rehabilitation in Korea: A Nationwide Survey Study

et al. 2022

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Background In Korea, the actual distribution of cardiac rehabilitation (CR) to the clinical field is insufficient due to the many barriers for cardiovascular patients to participate in CR. Community-based CR is a useful alternative to overcome these obstacles. Through a nationwide survey, we investigated the possibility of regional medical and public health management institutes which can be in charge of community-based CR in Korea. Methods The questionnaires on recognition of CR and current available resources in health-related institutions were developed with reference to the CR evaluation tools of York University and the International Council of Cardiovascular Prevention and Rehabilitation. The questionnaires were sent to regional public and private medical institutions and public health management institutions. Results In total, 2,267 questionnaires were sent to 1,186 institutions. There were 241 and 242 responses from 173 and 179 regional private and public medical institutions, respectively. And a total of 244 responses were gathered from 180 public health management institutions. Although many institutions were equipped with the necessary facilities for exercise training, there were few patient-monitoring systems during exercise. Most institutions were aware of the need for CR, but were burdened with the cost of establishing personnel and facilities to operate CR. Conclusion Most regional medical, and public health management institutions in Korea are unprepared for the implementation of community-based CR programs. To encourage the utilization of such, there should be efforts to establish a national consensus.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Current Resources Available for Community-Based Cardiac Rehabilitation in Korea: A Nationwide Survey Study

et al. 2022

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“…Seoul National University Bundang Hospital is designated as one of the Regional Cardiocerebrovascular Centers (RCCs) in South Korea. 26 Following the RCC protocol, most of the patients with AMI are referred to the Department of Rehabilitation for CR. Among the patients who were admitted to Seoul National University Bundang Hospital for the treatment of AMI between August 2015 and March 2019, 1545 hospitalized patients were referred for CR.…”

Section: Methodsmentioning

confidence: 99%

“…Seoul National University Bundang Hospital is designated as one of the Regional Cardiocerebrovascular Centers (RCCs) in South Korea 26. Following the RCC protocol, most of the patients with AMI are referred to the Department of Rehabilitation for CR.…”

Section: Methodsmentioning

confidence: 99%

Depressive Symptoms After Acute Myocardial Infarction and Its Association With Low Functional Capacity and Physical Activity

Lee

Kim

2022

Journal of Cardiopulmonary Rehabilitation and Prevention

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Depressive symptoms after acute myocardial infarction (AMI) are related with adverse health outcomes. However, the risk factors and course of depressive symptoms after AMI have not been widely investigated, especially in Asian populations. We aimed to evaluate changes in the prevalence of depressive symptoms and the associated risk factors at 3 mo after AMI. We also investigated the associations among functional capacity, physical activity (PA), and depressive symptoms. Methods: This cross-sectional study was conducted for 1545 patients who were admitted for AMI and referred to cardiac rehabilitation (CR) between August 2015 and March 2019. Of these patients, 626 patients completed the Patient Health Questionnaire-9 (PHQ-9), the Korean Activity Scale Index (KASI), and the International Physical Activity Questionnaire (IPAQ) 3 mo following AMI. A PHQ-9 score of ≥5 was considered to indicate depressive symptoms. Results: The prevalence of depressive symptoms was 30% at baseline and decreased to 12% at 3 mo after AMI. Depressive symptoms were significantly associated with low functional capacity (OR = 2.20, P = .004) and unemployment status (OR = 1.82, P = .023). After adjusting for variables including functional capacity, depressive symptoms exhibited a significant relationship with low PA after AMI (OR = 1.80, P = .023). Conclusion: Systematic screening and treatment for depressive symptoms and efforts to promote CR may help to improve PA and functional capacity in Korean patients with AMI. Such efforts may aid in reducing the depressive symptoms and related adverse outcomes.

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“…6 Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, South Korea. 7 Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea. 8 Department of Rehabilitation Medicine, Chungbuk National University, College of Medicine, Cheongju, South Korea.…”

Section: Abbreviationsmentioning

confidence: 99%

“…A survey of the current status of CR in South Korean cardiocerebrovascular centers showed that approximately 47% of patients who received inpatient care for acute myocardial infarction underwent CR after discharge, with 36% undergoing early assessment and 17% continuing CR. However, the rates varied widely across facilities and compared with the high CR referral rate, CR participation and completion rates were relatively low, in Korea [ 7 ]. Worldwide, CR available is only half, and participation is restricted because most patients cannot be accepted even if they are provided [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

A survey of the perceptions of barriers to and facilitators of cardiac rehabilitation in healthcare providers and policy stakeholders

Kim

Kwak

Sung

et al. 2022

BMC Health Serv Res

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Background Cardiac rehabilitation (CR) is a prognostic management strategy to help patients with CVD achieve a good quality of life and lower the rates of recurrence, readmission, and premature death from disease. Globally, cardiac rehabilitation is poorly established in hospitals and communities. Hence, this study aimed to investigate the discrepancies in the perceptions of the need for CR programs and relevant health policies between directors of hospitals and health policy personnel in South Korea to shed light on the status and to establish practically superior and effective strategies to promote CR in South Korea. Methods We sent a questionnaire to 592 public health policy managers and directors of selected hospitals, 132 of whom returned a completed questionnaire (response rate: 22.3%). The participants were categorized into five types of organizations depending on their practice of PCI (Percutaneous Coronary Intervention), establishment of cardiac rehabilitation, director of hospital, and government's policy makers. Differences in the opinions between directors of hospitals that perform/do not perform PCI, directors of hospitals with/without cardiac rehabilitation, and between hospital directors and health policy makers were analyzed. Results Responses about targeting diseases for cardiac rehabilitation, patients’ roles in cardiac rehabilitation, hospitals’ roles in cardiac rehabilitation, and governmental health policies’ roles in cardiac rehabilitation were more positive among hospitals that perform PCI than those that do not. Responses to questions about the effectiveness of cardiac rehabilitation and hospitals’ roles in cardiac rehabilitation tended to be more positive in hospitals with cardiac rehabilitation than in those without. Hospital directors responded more positively to questions about targeting diseases for cardiac rehabilitation and governmental health policies’ roles in cardiac rehabilitation than policy makers, and both hospitals and public organizations provided negative responses to the question about patients’ roles in cardiac rehabilitation. Responses to questions about targeting diseases for cardiac rehabilitation, patients’ roles in cardiac rehabilitation, and governmental health policies’ roles in cardiac rehabilitation were more positive in hospitals that perform PCI than those that do not and public organizations. Conclusions Hospitals must ensure timely referral, provide education, and promote the need for cardiac rehabilitation. In addition, governmental socioeconomic support is needed in a varity of aspects.

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Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea

Cited by 19 publications

References 27 publications

Evaluation of Current Resources Available for Community-Based Cardiac Rehabilitation in Korea: A Nationwide Survey Study

Evaluation of Current Resources Available for Community-Based Cardiac Rehabilitation in Korea: A Nationwide Survey Study

Depressive Symptoms After Acute Myocardial Infarction and Its Association With Low Functional Capacity and Physical Activity

A survey of the perceptions of barriers to and facilitators of cardiac rehabilitation in healthcare providers and policy stakeholders

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