Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea.
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 myoc...
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Public Library of Science (PLoS)
2021-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0261072&type=printable |
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| author | Myung Soo Park Sunki Lee Taehoon Ahn Doyoung Kim Mi-Hyang Jung Jae Hyuk Choi Seongwoo Han Kyu Hyung Ryu Eung Ju Kim |
| author_facet | Myung Soo Park Sunki Lee Taehoon Ahn Doyoung Kim Mi-Hyang Jung Jae Hyuk Choi Seongwoo Han Kyu Hyung Ryu Eung Ju Kim |
| author_sort | Myung Soo Park |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-bf3f8e8338774556a4eb2bebaf949f49 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-bf3f8e8338774556a4eb2bebaf949f492025-08-20T03:15:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011612e026107210.1371/journal.pone.0261072Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea.Myung Soo ParkSunki LeeTaehoon AhnDoyoung KimMi-Hyang JungJae Hyuk ChoiSeongwoo HanKyu Hyung RyuEung Ju KimCardiac 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.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0261072&type=printable |
| spellingShingle | Myung Soo Park Sunki Lee Taehoon Ahn Doyoung Kim Mi-Hyang Jung Jae Hyuk Choi Seongwoo Han Kyu Hyung Ryu Eung Ju Kim Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. PLoS ONE |
| title | Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. |
| title_full | Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. |
| title_fullStr | Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. |
| title_full_unstemmed | Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. |
| title_short | Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. |
| title_sort | current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in south korea |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0261072&type=printable |
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