Cardiac rehabilitation services in Denmark: Still room for expansion
- 1 October 2005
- journal article
- other
- Published by SAGE Publications in Scandinavian Journal of Public Health
- Vol. 33 (5), 376-383
- https://doi.org/10.1080/14034940510005824
Abstract
Aim: European cardiologists agree that cardiac rehabilitation (CR) should be offered as an integrated part of cardiac care, and CR guidelines have been published. The authors aimed to ascertain the potential for expanding CR coverage at hospitals in Denmark. Method: A cross-sectional questionnaire study was conducted among all hospitals receiving acute cardiac patients (n=67). The response rate was 79%, with no differences according to catchment area, number of beds, or geographical location. The hospitals were classified as having full CR if all core components (physical training, psychosocial support, dietary counselling, smoking cessation, and pharmaceutical risk factor management) were available during each of three phases: (I) in hospital; (II) outpatient; and (II) community-based services. Results: Many hospitals offered one or more of the CR components during phases I and II: physical training (77%; 77%), psychosocial support (89%; 79%), dietary counselling (85%; 89%), smoking cessation (94%; 68%), and clinical control by a physician (100%; 93%). The content varied greatly. Full phase I CR was offered at 57% (95% confidence interval (95% CI): 44—70%) of the hospitals and 47% (95% CI: 34—60%) offered full phase II CR. Phase III CR was very rare (2% (95% CI: 0—6%). The numbers of patients receiving CR was not registered. Conclusion: Marked progress was made in the 1990s in implementing CR; nevertheless, the services are far from fully expanded. Denmark has great potential for improving CR services, as do most other European countries. CR activities need to be registered at Danish hospitals.Keywords
This publication has 16 references indexed in Scilit:
- Secondary Prevention Through Cardiac Rehabilitation Position Paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of CardiologyEuropean Heart Journal, 2003
- Implantación y características de los programas de rehabilitación cardíaca en el Sistema Nacional de Salud españolRevista Espanola de Cardiologia, 2003
- Preparing for change in the secondary prevention of coronary heart disease: a qualitative evaluation of cardiac rehabilitation within a region of ScotlandJournal of Advanced Nursing, 2002
- Brief intervention during hospital admission to help patients to give up smoking after myocardial infarction and bypass surgery: randomised controlled trialBMJ, 2002
- Cardiac rehabilitation service provision in Ireland: the Irish Association of Cardiac Rehabilitation survey.Irish Journal of Medical Science, 2001
- Predictors of Health-Related Quality of Life With Cardiac Rehabilitation After Acute Myocardial InfarctionJournal of Cardiopulmonary Rehabilitation, 1998
- Cardiac rehabilitation services in England and Wales: a national surveyInternational Journal of Cardiology, 1997
- Effects of cardiac rehabilitation and exercise training on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in womenThe American Journal of Cardiology, 1995
- Effects on quality of life with comprehensive rehabilitation after acute myocardial infarctionThe American Journal of Cardiology, 1991
- The Framingham Disability Study: relationship of various coronary heart disease manifestations to disability in older persons living in the community.American Journal of Public Health, 1990