scholarly journals Cost-analysis of gym-based versus home-based cardiac rehabilitation programs

2001 ◽  
Vol 24 (1) ◽  
pp. 51 ◽  
Author(s):  
Louisa Collins ◽  
Paul Scuffham ◽  
Sue Gargett
Keyword(s):  
Cost Analysis ◽  
Cardiac Rehabilitation ◽  
Average Cost ◽  
Lower Cost ◽  
Baseline Data ◽  
Cost Data ◽  
Rehabilitation Services ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Rural Patients

A cost-analysis of an existing gym-based program was compared with a proposed home-based program for deliveringcardiac rehabilitation services in West Moreton, Queensland. Cost and baseline data were collected on 95 cardiacrehabilitation patients living in Ipswich and West Moreton. Cost data included costs to the program funders andpatients. The average cost per patient rehabilitated was $1,933 in the gym-based program and $1,169 in the home-basedprogram. Adopting the lower cost home-based program would allow the services to be provided to many morepatients. The relevance of home-based rehabilitation programs for rural patients facing barriers accessing traditionalhospital- or gym-based programs is significant.

Modello di riabilitazione cardiologica teleguidata durante pandemia da COVID-19

2020 ◽  
pp. 271-275
Author(s):  
Giovanni Pasanisi ◽  
Biagio Sassone ◽  
Jonathan Myers ◽  
Giorgio Chiaranda ◽  
Andrea Raisi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Physical Activity Intervention ◽  
Rehabilitation Program ◽  
Physical And Mental Health ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Video Tutorials ◽  
Rapid Spread ◽  
Collateral Effects

Background. The COVID-19 pandemic has induced many governments to promote national lockdowns. Despite a period of quarantine is the best option and recommendation to stop the rapid spread of infections, this may have collateral effects on other dimensions of the isolated patients’ physical and mental health. Physical activity is the major component of cardiac rehabilitation programs that have been abruptly discontinued. Aims. To counteract physical inactivity during the COVID-19 outbreak we propose an home cardiac rehabilitation program under telemonitoring guidance, the home-bAsed physiCal acTivity Intervention during cOvid-19 quaraNtine (ACTION) study, testing its feasibility. Methods and results. ACTION is an observational study in cardiac outpatients referred to an exercise-based cardiac rehabilita-tion program. A program consisting of aerobic recommendations combined with a selection of strength and balance exercises is recommended. Video tutorials providing details of the workouts will be sent to patients. Selected patients can be followed during the home-sessions via video connection using current smartphone applications. Conclusions. The ACTION study could provide applicable results for safe and effective exercise therapy in outpatients with car-diovascular disease, while preventing the COVID-19 outbreak from generating adverse health consequences due to acute cessa-tion of physical activity. Findings from the ACTION study can also be useful after the end of COVID-19 outbreak for patients who cannot participate in traditional center- or home-based cardiac rehabilitation programs.

scholarly journals Electronic Health Physical Activity Behavior Change Intervention to Self-Manage Cardiovascular Disease: Qualitative Exploration of Patient and Health Professional Requirements (Preprint)

2017 ◽  
Author(s):  
Deirdre MJ Walsh ◽  
Kieran Moran ◽  
Véronique Cornelissen ◽  
Roselien Buys ◽  
Nils Cornelis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Intervention Development ◽  
Premature Death ◽  
Physical Activity Behavior ◽  
Physical Factors ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Key Stakeholders

BACKGROUND Cardiovascular diseases are a leading cause of premature death worldwide. International guidelines recommend routine delivery of all phases of cardiac rehabilitation. Uptake of traditional cardiac rehabilitation remains suboptimal, as attendance at formal hospital-based cardiac rehabilitation programs is low, with community-based cardiac rehabilitation rates and individual long-term exercise maintenance even lower. Home-based cardiac rehabilitation programs have been shown to be equally effective in clinical and health-related quality of life outcomes and yet are not readily available. OBJECTIVE Given the potential that home-based cardiac rehabilitation programs have, it is important to explore how to appropriately design any such intervention in conjunction with key stakeholders. The aim of this study was to engage with individuals with cardiovascular disease and other professionals within the health ecosystem to (1) understand the personal, social, and physical factors that inhibit or promote their capacity to engage with physical activity and (2) explore their technology competencies, needs, and wants in relation to an eHealth intervention. METHODS Fifty-four semistructured interviews were conducted across two countries. Interviews were audiotaped, transcribed verbatim, and analyzed using thematic analysis. Barriers to the implementation of PATHway were also explored specifically in relation to physical capability and safety as well as technology readiness and further mapped onto the COM-B model for future intervention design. RESULTS Key recommendations included collection of patient data and use of measurements, harnessing hospital based social connections, and advice to utilize a patient-centered approach with personalization and tailoring to facilitate optimal engagement. CONCLUSIONS In summary, a multifaceted, personalizable intervention with an inclusively designed interface was deemed desirable for use among cardiovascular disease patients both by end users and key stakeholders. In-depth understanding of core needs of the population can aid intervention development and acceptability.

A cost analysis of a tele-oncology practice

1997 ◽  
Vol 3 (1_suppl) ◽  
pp. 20-22 ◽  
Author(s):  
G C Doolittle ◽  
A Harmon ◽  
A Williams ◽  
A Allen ◽  
C D Boysen ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Rural Areas ◽  
Average Cost ◽  
Clinic Visit ◽  
City Hospital ◽  
Start Up ◽  
Different Types ◽  
Outreach Clinic ◽  
Oncology Practice ◽  
Rural Patients

Costs were monitored for three different types of oncology practice: a telemedicine clinic and a fly-in outreach clinic, both held in rural areas, and a traditional clinic held in a city hospital. Total expenses were calculated over the year May 1995 to April 1996. The average cost per telemedicine visit was $812. The average cost per out reach clinic visit was $897. Flying in oncology support for this practice was therefore about 10% more costly than telemedicine. While the outreach cost may have been inappropriately high due to as low start-up phase, it was still less expensive during this period to be seen via telemedicine. For comparison, the average cost per traditional oncology clinic visit was $149. However, this figure does not take into account the costs of access to a city-based service by rural patients.

scholarly journals Cardiac rehabilitation and secondary prevention in COVID-19 times: Single center experience

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
I Burazor ◽  
DS Spiroski ◽  
J Terzic ◽  
P Otasevic ◽  
R Babic ◽  
...  
Keyword(s):  
Risk Factors ◽  
Secondary Prevention ◽  
Cardiac Rehabilitation ◽  
Walking Test ◽  
Rehabilitation Programs ◽  
Funding Sources ◽  
Single Center Experience ◽  
Home Based ◽  
Number Of Patients ◽  
Near Future

Abstract Funding Acknowledgements Type of funding sources: None. Background Cardiac rehabilitation (CR) is a class I treatment for cardiovascular disease, still, underutilization of these services remains. During the coronavirus 2019 (COVID-19) pandemic, an even greater gap in CR care has been present. Purpose and methods We aimed to present the cardiac rehabilitation during COVID 19 times in Belgrade. At the beginning of epidemic in Serbia the number of patients in in-house city program was 70 out of 70 beds, with 200 patients who were scheduled (on the waiting list). Similarly to the other countries, we continued to admit only urgent patients with acute coronary settings. Results Only one PPCI center in Belgrade (2 million inhabitants plus surrounding area; out of five centers) continue to admit COVID-negative patients with STEMI from 13of March to 11 of May, during the first pick of COVID-19 epidemic in Serbia. Out -patients cardiac rehabilitation programs were stopped. The totals of 80 patients (PCR negative) were transferred to exercised based cardiac rehabilitation secondary prevention program during the first pick of epidemic directly from acute hospital. The majority of patients were males in their 50s. All risk factors were noted and patients were with much less risk factors compared to non- epidemic era. Lipid profile was measured. Six minutes walking test was performed at the beginning and exercise plan was made. Unfortunately, exercise based three weeks in- house cardiac rehabilitation was completed in only 1% of patients while others quite the program. Conclusion The COVID-19 pandemic presents a time to highlight the value of home-based models as we search for ways to continue to provide care. Standardization of home based CR models is essential to provide care for a wider range of patients and circumstances in the near future.

scholarly journals Comparison of Obesity Related Index and Exercise Capacity Between Center-Based and Home-Based Cardiac Rehabilitation Programs

2019 ◽  
Vol 43 (3) ◽  
pp. 297-304
Author(s):  
Hyeng-Kyu Park ◽  
Ki-Hong Kim ◽  
Ji-Hyun Kim ◽  
Min-Keun Song ◽  
In-Sung Choi ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Exercise Capacity ◽  
Rehabilitation Programs ◽  
Home Based

scholarly journals Effectiveness of Home-Based Cardiac Rehabilitation and Its Importance During COVID-19

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Hannah Pollock ◽  
Anna Garnett
Keyword(s):  
Cardiac Rehabilitation ◽  
Exercise Program ◽  
Case Manager ◽  
Adverse Outcomes ◽  
Cardiac Events ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Risk Of Mortality ◽  
Rehabilitation Needs ◽  
Key Steps

Cardiac rehabilitation is a secondary prevention and disease-management opportunity for individuals living with cardiovascular disease. The COVID-19 pandemic has caused postponements and cancellations for many health services, including 41% of cardiac rehabilitation programs in Canada. Cardiac rehabilitation effectively reduces the risk of mortality, morbidity, and hospitalizations in cardiac clients. Without access, individuals face challenges to improve their health, which places them at risk of adverse outcomes. This paper argues that transitioning to home-based cardiac rehabilitation programs during the pandemic is a reasonable strategy to meet the ongoing rehabilitation needs of cardiac patients. Home-based cardiac rehabilitation programs utilize limited hospital or clinic visits because the majority of exercise is performed at home through regular communication with a case manager. Programs utilize a variety of resources, including technology, to regularly monitor, educate, and counsel clients. The programs’ flexibility and convenience overcome many multi-level barriers which normally impede participants from accessing services. These programs have proven to be equally effective, if not more effective than centre-based programs, at improving mortality, cardiac events, exercise capacity and modifiable risk factors. Home-based programs are a valid alternative to support and protect a vulnerable population, especially those at high risk if diagnosed with COVID-19. Transitioning to a home-based platform may be a challenge, but the Canadian Cardiovascular Society has provided practical approaches to support programs. Adapting current plans and developing new ones, utilizing appropriate resources, having a conservative exercise program, monitoring clients, emphasizing education, being flexible, and enhancing safety are key steps for a successful transition.

Home-Based Cardiac Rehabilitation in a Young Athletic Woman Following Spontaneous Coronary Artery Dissection

2016 ◽  
Vol 5 (1) ◽  
pp. 6-11
Author(s):  
Mark A. Patterson ◽  
Sharonne N. Hayes ◽  
Ray W. Squires ◽  
Marysia S. Tweet
Keyword(s):  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Exercise Physiologist

Spontaneous coronary artery dissection is a cause of myocardial infarction in young apparently healthy individuals. While most cardiac rehabilitation programs are fully capable of caring for these individuals in a supervised setting, their young age and often very physically fit condition can necessitate a different set of issues for their care versus the care for a more traditional patient. This case study describes a young, physically fit woman diagnosed with spontaneous coronary artery dissection who underwent a home-based cardiac rehabilitation program administered by a clinical exercise physiologist.

Sign in / Sign up

Export Citation Format

Share Document