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Cardiac Rehabilitation Delivery in Low and Middle-Income Countries

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dc.contributor.advisorGrace, Sherry L.
dc.creatorPesah, Ella
dc.date.accessioned2018-11-21T13:53:13Z
dc.date.available2018-11-21T13:53:13Z
dc.date.copyright2018-06-19
dc.date.issued2018-11-21
dc.date.updated2018-11-21T13:53:13Z
dc.degree.disciplineKinesiology & Health Science
dc.degree.levelMaster's
dc.degree.nameMSc - Master of Science
dc.description.abstractCardiovascular diseases are among the leading causes of disability in low- and middle-income countries (LMICs). Cardiac rehabilitation (CR) is an effective secondary prevention program model. In this cross-sectional study, a confidential, online surveywas administered to CR programs around the world. CR programs were identified in 55/138 (39.9%) LMICs; 47 (85.5% country response rate) countries participated and 335(53.5% program response rate) surveys were initiated. There was 1 CR spot for every66 incident ischemic heart disease patients in LMICs. CR was most often paid by patients in LMICs (n=212,65.0%). On average, programs offered 7.31.8/11 core components over 33.730.7 sessions (significantly greater in publicly-funded programs;p<.001). Lack of patient referral (3.8/5) and financial resources (3.5/5) were the greatest barriers to CR provision in LMICs. CR is only available in 40% of LMICs, but where offered is fairly consistent with CR guidelines. Governments must enact policies to reimburse CR so patients do notCardiovascular diseases are among the leading causes of disability in low- and middle-income countries (LMICs). Cardiac rehabilitation (CR) is an effective secondary prevention program model. In this cross-sectional study, a confidential, online surveywas administered to CR programs around the world. CR programs were identified in 55/138 (39.9%) LMICs; 47 (85.5% country response rate) countries participated and 335(53.5% program response rate) surveys were initiated. There was 1 CR spot for every66 incident ischemic heart disease patients in LMICs. CR was most often paid by patients in LMICs (n=212,65.0%). On average, programs offered 7.31.8/11 core components over 33.730.7 sessions (significantly greater in publicly-funded programs;p<.001). Lack of patient referral (3.8/5) and financial resources (3.5/5) were the greatest barriers to CR provision in LMICs. CR is only available in 40% of LMICs, but where offered is fairly consistent with CR guidelines. Governments must enact policies to reimburse CR so patients do not pay out-of-pocket.
dc.identifier.urihttp://hdl.handle.net/10315/35563
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectPublic health
dc.subject.keywordsCardiac rehabilitation
dc.subject.keywordsGlobal health
dc.subject.keywordsIschemic heart disease
dc.titleCardiac Rehabilitation Delivery in Low and Middle-Income Countries
dc.typeElectronic Thesis or Dissertation

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