Advocacy for outpatient cardiac rehabilitation globally

Abraham Samuel Babu, Francisco Lopez-Jimenez, Randal J. Thomas, Wanrudee Isaranuwatchai, Artur Haddad Herdy, Jeffrey S. Hoch, Sherry L. Grace

Research output: Contribution to journalReview article

26 Citations (Scopus)

Abstract

Background: Cardiovascular diseases (CVD) are the leading cause of death globally. Cardiac rehabilitation (CR) is an evidence-based intervention recommended for patients with CVD, to prevent recurrent events and to improve quality of life. However, despite the proven benefits, only a small percentage of those would benefit from CR actually receive it worldwide. This paper by the International Council of Cardiovascular Prevention and Rehabilitation forwards the groundwork for successful CR advocacy to achieve broader reimbursement, and hence implementation. Methods: First, the results of the International Council's survey on national CR reimbursement policies by government and insurance companies are summarized. Second, a multi-faceted approach to CR advocacy is forwarded. Finally, as per the advocacy recommendations, the economic impact of CVD and the corresponding benefits of CR and its cost-effectiveness are summarized. This provides the case for CR reimbursement advocacy. Results: Thirty-one responses were received, from 25 different countries: 18 (58.1 %) were from high-income countries, 10 (32.4 %) from upper middle-income, and 3 (9.9 %) from lower middle-income countries. When asked who reimburses at least some portion of CR services in their country, 19 (61.3 %) reported the government, 17 (54.8 %) reported patients pay out-of-pocket, 16 (51.6 %) reported insurance companies, 12 (38.7 %) reported that it is shared between the patient and another source, and 7 (22.6 %) reported another source. Conclusions: Many patients pay out-of-pocket for CR. CR reimbursement around the world is inconsistent and insufficient. Advocacy campaigns forwarding the CR cause, supported by the relevant literature, enlisting sources of support in a unified manner with an organized plan, are needed, and must be pursued persistently.

Original languageEnglish
Article number417
JournalBMC Health Services Research
Volume16
Issue number1
DOIs
Publication statusPublished - 06-09-2016

All Science Journal Classification (ASJC) codes

  • Health Policy

Fingerprint Dive into the research topics of 'Advocacy for outpatient cardiac rehabilitation globally'. Together they form a unique fingerprint.

  • Cite this

    Babu, A. S., Lopez-Jimenez, F., Thomas, R. J., Isaranuwatchai, W., Herdy, A. H., Hoch, J. S., & Grace, S. L. (2016). Advocacy for outpatient cardiac rehabilitation globally. BMC Health Services Research, 16(1), [417]. https://doi.org/10.1186/s12913-016-1658-1