J Korean Med Sci.  2022 Apr;37(14):e109. 10.3346/jkms.2022.37.e109.

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

Affiliations
  • 1Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea
  • 2Division of Cardiology, Department of Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 3Department of Physical Medicine and Rehabilitation, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
  • 4Department of Rehabilitation Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
  • 5Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 6Department of Physical Medicine and Rehabilitation, Dong A University College of Medicine, Busan, Korea
  • 7Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
  • 8Department of Rehabilitation Medicine, Chungbuk National University, College of Medicine, Cheongju, Korea
  • 9Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
  • 10Department of Physical Medicine and Rehabilitation, Inha University Hospital, Incheon, Korea
  • 11Department of Rehabilitation Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea
  • 12Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea
  • 13Department of Rehabilitation Medicine, Wonkwang University Hospital, Wonkwang University Medical School, Iksan, Korea
  • 14Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea

Abstract

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.

Keyword

Cardiac Rehabilitation; Community Networks; Surveys and Questionnaires; Public Policy

Cited by  1 articles

Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea
Ki-Hong Kim, Jae-Young Han
Ann Rehabil Med. 2023;47(5):318-325.    doi: 10.5535/arm.23050.


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