弥合差距:在巴基斯坦医疗保健系统中实施心脏康复计划
Hammad Najam1, Muhammad Furqan Hassan2, Zara Khalid3
1Foundation University College of Physical Therapy, Foundation University Islamabad.
JPMA. The Journal of the Pakistan Medical Association..
|July 23, 2025
概括
心脏康复 (CR) 计划对心血管疾病患者至关重要,但在全球范围内供不应求,特别是在巴基斯坦等低收入国家. 本次审查审查了巴基斯坦缺乏CR服务及其障碍.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 心脏康复 (CR) 是心血管疾病 (CVD) 患者的关键二次预防策略,旨在降低死亡率和改善生活质量.
- 尽管有证实的好处,但CR服务在全球范围内供不应求,只有不到54%的国家提供CR服务.
- 低收入和中等收入国家 (LMICs) 面临着特别严重的赤字,其CR提供率分别仅为8%和28%.
研究的目的:
- 审查巴基斯坦建立和实施心脏康复计划的现状和挑战.
- 突出巴基斯坦CR服务的关键需求,一个低收入国家,以减轻长期医疗保健成本和患者依赖.
- 确定阻碍在巴基斯坦医疗保健背景下利用和适用CR计划的因素.
主要方法:
- 本研究是对有关心脏康复的现有文献和统计数据的综述.
- 它分析了全球CR提供率,重点关注LMICs的差异.
- 该审查特别审查了巴基斯坦的情况,确定了CR实施的障碍.
主要成果:
- 全球提供心脏康复服务的水平仍然很低,影响LMICs的显著差异.
- 巴基斯坦作为一个低收入国家,在建立和推广CR服务方面面临重大挑战.
- 缺乏CR计划有助于延长住院时间,并增加心血管疾病患者的家庭依赖.
结论:
- 巴基斯坦急需建立和推广心脏康复计划.
- 解决CR实施障碍对于改善该国心血管医疗保健结果至关重要.
- 扩大CR服务可以降低死亡率,心脏复发事件,并提高巴基斯坦心血管疾病患者的生活质量.
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