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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.identifier.urihttp://hdl.handle.net/10315/35563
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.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectPublic health
dc.titleCardiac Rehabilitation Delivery in Low and Middle-Income Countries
dc.typeElectronic Thesis or Dissertation
dc.degree.disciplineKinesiology & Health Science
dc.degree.nameMSc - Master of Science
dc.degree.levelMaster's
dc.date.updated2018-11-21T13:53:13Z
dc.subject.keywordsCardiac rehabilitation
dc.subject.keywordsGlobal health
dc.subject.keywordsIschemic heart disease


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