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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.1K

Cardiac Rehabilitation During COVID-19 Pandemic: Highlighting the Value of Home-Based Programs

Kariann R Drwal1,2, Daniel E Forman3,4,5, Bonnie J Wakefield1,2,6

  • 1VA Office of Rural Health, Veterans Rural Health Resource Center Iowa City VA Healthcare System, Iowa City, Iowa, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|June 20, 2020
PubMed

Insights

Home-based cardiac rehabilitation (CR) offers solutions to access barriers but requires standardization for wider adoption. The COVID-19 pandemic highlights the need for effective home-based CR models, especially for higher-risk patients.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Cardiac rehabilitation (CR) is a vital treatment for cardiovascular disease, yet its utilization is suboptimal.
  • Home-based CR (HBCR) models address access barriers but exhibit protocol variability and limited evidence in high-risk groups.
  • Reimbursement challenges and the COVID-19 pandemic have further complicated CR delivery, increasing the need for accessible alternatives.

Purpose of the Study:

  • To review the effectiveness and challenges of home-based cardiac rehabilitation (HBCR) models.
  • To highlight the role of HBCR in overcoming access barriers and care gaps exacerbated by the COVID-19 pandemic.
  • To emphasize the necessity for standardization of HBCR protocols to ensure broader applicability and effectiveness.

Main Methods:

  • Literature review on existing home-based cardiac rehabilitation programs.
  • Analysis of protocol variations and reported outcomes in different patient populations.
  • Examination of barriers to adoption, including reimbursement and pandemic-related disruptions.

Main Results:

  • Home-based CR models demonstrate effectiveness but lack standardized protocols.
  • Evidence for effectiveness in higher-risk cardiovascular populations is limited.
  • The COVID-19 pandemic has underscored the importance and potential of HBCR for continuous patient care.

Conclusions:

  • Standardization of HBCR protocols is crucial for improving patient access and outcomes.
  • HBCR presents a viable solution to persistent access issues in cardiovascular disease management.
  • Further research and policy development are needed to support widespread adoption and reimbursement of HBCR.

Keywords:
home-based cardiac rehabilitationpreventiontelehealth

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