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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Promoting Diversity in Cardiac Rehabilitation Programs at Community Hospitals
Noriko Fukue1, Masakazu Miura2, Ikki Tokumoto3
1Wellness Science Center, Yamaguchi University Yamaguchi Japan.
Insights
Implementing cardiac rehabilitation (CR) in Japan is improving, with prefectures setting targets. Even with limited resources, CR programs can be effective by leveraging available professionals and fostering interprofessional collaboration.
Area of Science:
- Cardiology
- Public Health
- Healthcare Management
Background:
- Comprehensive cardiac rehabilitation (CR) is vital for cardiovascular disease (CVD) treatment but underutilized in Japan.
- Recent legislation (2022 Basic Act on Cardiovascular Disease Prevention) mandates prefectural targets for CR implementation.
- Prefectural initiatives aim to enhance CR accessibility and effectiveness across diverse healthcare settings.
Purpose of the Study:
- To describe the implementation and management of CR programs in Yamaguchi Prefecture, Japan.
- To analyze the impact of hospital size and type on CR service delivery and patient demographics.
- To identify challenges and facilitators for effective CR program organization and interprofessional collaboration.
Main Methods:
- Case study of CR programs in three Yamaguchi Prefecture hospitals of varying sizes and functions.
- Comparison of CR participant demographics (age) between mixed-care and acute-care hospital settings.
- Analysis of factors influencing CR service delivery, including insurance reimbursement and bed-type restrictions.
Main Results:
- Hospital size and functionality influenced the availability of diverse healthcare professionals for CR.
- Older patients participated in CR programs at mixed-care hospitals compared to acute-care facilities.
- Insurance reimbursement policies and bed-type limitations presented challenges to CR service delivery.
Conclusions:
- Cardiac rehabilitation (CR) can be successfully implemented even with resource limitations by utilizing available professionals.
- Effective CR organizations thrive on diversity, professional expertise, and psychological safety.
- Interprofessional collaboration is key to successful CR program delivery in cardiovascular care.
Background:
Although comprehensive cardiac rehabilitation (CR) is an effective treatment for cardiovascular diseases, its implementation in Japan remains insufficient. Following the 2022 Basic Act on Cardiovascular Disease Prevention, each prefecture has established specific targets.
Methods And Results:
We report our experience implementing and managing CR programs across hospitals of different sizes in Yamaguchi Prefecture, Japan, including Tokuyama Medical Association Hospital (initiated in 2019), Mitajiri Hospital (initiated in 2022), and Yamaguchi Prefectural Grand Medical Center. Hospital size and functionality correlated with the diversity and number of healthcare professionals available to provide CR services. In mixed-care hospitals, both inpatient and outpatient CR participants were older compared with acute-care hospitals. Insurance reimbursement calculations and bed-type restrictions affected CR service delivery. The CR team exemplifies interprofessional collaboration in cardiovascular care.
Conclusions:
Even without all the necessary professional roles, patients can benefit significantly from CR implemented using available resources. Building effective organizations requires embracing diversity and enabling each profession to demonstrate its expertise while ensuring the psychological safety of team members.
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