| 제목 |
Current Status of Hospital- and Community-based Cardiac Rehabilitation in Korea: A Research Protocol |
| 소속 |
Inje University School of Medicine, Department of rehabilitation medicine1, Sungkyunkwan University School of Medicine, Division of Cardiology, Department of Medicine2, Chonnam National University Medical School, Department of Rehabilitation Medicine3, Dong-A University College of Medicine, Department of Physical Medicine and Rehabilitation4, Seoul National University College of Medicine, Department of Rehabilitation Medicine5, College of Medicine, Chungnam National University, Department of Rehabilitation Medicine6, National Health Insurance Service Ilsan Hospital, Department of Physical Medicine and Rehabilitation7, Chungbuk National University Hospital, Department of Rehabilitation Medicine8, Kangwon National University School of Medicine, Department of Rehabilitation Medicine9, Inha University Hospital, Department of rehabilitation medicine10, School of Medicine Kyungpook National University, Department of Rehabilitation Medicine11, Jeju National University Hospital, Department of Rehabilitation Medicine12, Wonkwang University School of Medicine, Department of Rehabilitation Medicine13, Ulsan University College of Medicine, Department of Rehabilitation Medicine14 |
| 저자 |
Chul Kim1†, Jidong Sung2, Jae-Young Han3, Jong Hwa Lee4, Won-Seok Kim5, Sungju Jee6, Jang Woo Lee7*, Heui Je Bang8, Sora Baek9, Kyung-Lim Joa10, Ae Ryoung Kim11, So Young Lee12, Jihee Kim13, Chung Reen Kim14, Oh Pum Kwon5 |
Objective
Although cardiac rehabilitation (CR) has been reimbursed by the National Health Insurance Service since February 2017, its actual dissemination to the clinical field remains insufficient. This study aims to analyze the obstacles to CR participation across various facets and develop a strategic protocol for implementing CR that is suitable for the situation in Korea. The perception and barriers of healthcare experts and patients with cardiovascular disease regarding CR will be analyzed by in-depth questionnaires that cover various facets related to hospital, community, policy, and patient factors.
Materials and Methods
This multicenter study will be conducted by 14 medical centers to investigate all institutions nationwide. Based on the questionnaires created by Dr. Sherry Grace of the Cardiovascular Prevention and Rehabilitation Program, University Health Network, University of Toronto, six questionnaires for medical experts, health care providers, and policymakers were reformed to be appropriate for Korean medical and health care environments, through discussions with experienced clinicians in charge of CR clinics and consultations from various experts. The questionnaires were developed as follows: (1) for hospitals with CR, (2) CR managers, (3) hospitals without CR, (4) regional medical institutions, (5) public health management institutions, and (6) hospital administrators/policymakers. The Korean Version of the Cardiac Rehabilitation Barrier Scale was also revised and used for the patient survey, in order to investigate the perception of patients with cardiovascular disease about CR (Table 1).
The research institutions included percutaneous coronary intervention (PCI) hospitals with/without CR clinics, regional medical institutions, public health centers and public health medical centers, public health management institutions, and government agencies. The regional medical institutions that were included must have had at least one cardiologist, physiatrist, or cardiovascular surgeon and be equipped with physical therapy rooms. Public health management institutions included life support centers, sports centers, community centers, and welfare centers with exercise facilities. Specialized hospitals unrelated to cardiovascular disease, nursing hospitals with only one physiatrist, and private gyms were excluded.
Results
A total of 1,358 institutions were included in the survey, and 3,485 individual questionnaires were sent out. The research institution consisted of 172 PCI hospitals, 420 regional medical institutions, 245 public health institutions, and 521 public health management institutions (Table 2). Questionnaires will be collected by 50 people from each participating medical center.
Conclusion
This study is expected to provide practical measures and policies for the activation and dissemination of CR in Korea. |
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Table 1. Survey institutions and questionnaires
Table 2. The number of institutions and questionnaires to be investigated
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