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Publicly versus privately funded cardiac rehabilitation: access and adherence barriers. A cross-sectional study
Borges, Giovanna Lombardi Bonini; Cruz, Mayara Moura Alves da; Ricci-Vitor, Ana Laura; Silva, Paula Fernanda da; Grace, Sherry Lynn; Vanderlei, Luiz Carlos Marques.
Afiliação
  • Borges, Giovanna Lombardi Bonini; Universidade Estadual Paulista. School of Technology and Sciences. Department of Physiotherapy. Presidente Prudente. BR
  • Cruz, Mayara Moura Alves da; Universidade Estadual Paulista. School of Technology and Sciences. Department of Physiotherapy. Presidente Prudente. BR
  • Ricci-Vitor, Ana Laura; Escola Superior de Saúde Egas Moniz. Egas Moniz - Cooperativa de Ensino Superior. Almada. PT
  • Silva, Paula Fernanda da; Universidade Estadual Paulista. School of Technology and Sciences. Department of Physiotherapy. Presidente Prudente. BR
  • Grace, Sherry Lynn; York University. Faculty of Health. Toronto. CA
  • Vanderlei, Luiz Carlos Marques; Universidade Estadual Paulista. School of Technology and Sciences. Department of Physiotherapy. Presidente Prudente. BR
São Paulo med. j ; 140(1): 108-114, Jan.-Feb. 2022. tab
Artigo em Inglês | LILACS | ID: biblio-1357455
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

BACKGROUND:

Cardiac rehabilitation (CR) barriers are well-understood in high-resource settings. However, they are under-studied in low-resource settings, where access is even poorer and the context is significantly different, including two-tiered healthcare systems and greater socioeconomic challenges.

OBJECTIVE:

To investigate differences in characteristics of patients attending publicly versus privately funded CR and their barriers to adherence. DESIGN AND

SETTING:

Observational, cross-sectional study in public and private CR programs offered in Brazil.

METHODS:

Patients who had been attending CR for ≥ 3 months were recruited from one publicly and one privately funded CR program. They completed assessments regarding sociodemographic and clinical characteristics and the CR Barriers Scale.

RESULTS:

From the public program, 74 patients were recruited, and from the private, 100. Participants in the public program had significantly lower educational attainment (P < 0.001) and lower socioeconomic status (P < 0.001). Participants in the private program had more cognitive impairment (P = 0.015), and in the public program more anxiety (P = 0.001) and depressive symptoms (P = 0.008) than their counterparts. Total barriers among public CR participants were significantly higher than those among private CR participants (1.34 ± 0.26 versus 1.23 ± 0.15/5]; P = 0.003), as were scores on 3 out of 5 subscales, namely comorbidities/functional status (P = 0.027), perceived need (P < 0.001) and access (P = 0.012).

CONCLUSION:

Publicly funded programs need to be tailored to meet their patients' requirements, through consideration of educational and psychosocial matters, and be amenable to mitigation of patient barriers relating to presence of comorbidities and poorer health status.
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Temas: Aperfeiçoar a gestão do SUS / Promover a ampliação da oferta de serviços da atenção especializada Base de dados: LILACS Assunto principal: Reabilitação Cardíaca Tipo de estudo: Estudo observacional / Estudo de prevalência / Fatores de risco Aspecto: Pesquisa de implementação / Preferência do paciente Limite: Humanos País/Região como assunto: América do Sul / Brasil Idioma: Inglês Revista: São Paulo med. j Ano de publicação: 2022 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados internacionais Temas: Aperfeiçoar a gestão do SUS / Promover a ampliação da oferta de serviços da atenção especializada Base de dados: LILACS Assunto principal: Reabilitação Cardíaca Tipo de estudo: Estudo observacional / Estudo de prevalência / Fatores de risco Aspecto: Pesquisa de implementação / Preferência do paciente Limite: Humanos País/Região como assunto: América do Sul / Brasil Idioma: Inglês Revista: São Paulo med. j Ano de publicação: 2022 Tipo de documento: Artigo