Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea

Park, Myung Soo and Lee, Sunki and Ahn, Taehoon and Kim, Doyoung and Jung, Mi-Hyang and Choi, Jae Hyuk and Han, Seongwoo and Ryu, Kyu Hyung and Kim, Eung Ju and Deo, Salil (2021) Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. PLOS ONE, 16 (12). e0261072. ISSN 1932-6203

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Abstract

Cardiac rehabilitation services are mostly underutilized despite the documentation of substantial morbidity and mortality benefits of cardiac rehabilitation post-acute myocardial infarction. To assess the implementation rate and barriers to cardiac rehabilitation in hospitals dealing with acute myocardial infarction in South Korea, between May and July 2016, questionnaires were emailed to cardiology directors of 93 hospitals in South Korea; all hospitals were certified institutes for coronary interventions. The questionnaires included 16 questions on the hospital type, cardiology practice, and implementation of cardiac rehabilitation. The obtained data were categorized into two groups based on the type of the hospital (secondary or tertiary) and statistically analysed. Of the 72 hospitals that responded (response rate of 77%), 39 (54%) were tertiary medical centers and 33 (46%) were secondary medical centers. All hospitals treated acute myocardial infarction patients and performed emergency percutaneous coronary intervention; 79% (57/72) of the hospitals performed coronary artery bypass grafting. However, the rate of implementation of cardiac rehabilitation was low overall (28%, 20/72 hospitals) and even lower in secondary medical centers (12%, 4/33 hospitals) than in tertiary centers (41%, 16/39 hospitals, p = 0.002). The major barriers to cardiac rehabilitation included the lack of staff (59%) and lack of space (33%). In contrast to the wide availability of acute-phase invasive treatment for AMI, the overall implementation of cardiac rehabilitation is extremely poor in South Korea. Considering the established benefits of cardiac rehabilitation in patients with acute myocardial infarction, more administrative support, such as increasing the fee for cardiac rehabilitation services by an appropriate level of health insurance coverage should be warranted.

Item Type: Article
Subjects: Institute Archives > Social Sciences and Humanities
Depositing User: Managing Editor
Date Deposited: 28 Jan 2023 06:05
Last Modified: 31 May 2024 05:42
URI: http://eprint.subtopublish.com/id/eprint/1128

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