Cardiac Rehabilitation During the COVID-19 Era: Guidance on Implementing Virtual Care
| Autor: | Tracy Selway, Ariane Marelli, Christopher B. Fordyce, Anil Gupta, Nelville Suskin, Benny Lau, Samer Mansour, Brian Clarke, Jean Francois Legare, Kenneth Gin, Howard Leong-Poi, Simon Jackson, Anne Fournier, Yoan Lamarche, Andrew D. Krahn, Gary W. Small, Sean A. Virani, Simone Cowan, Jennifer Harris, Gurmeet Singh, Idan Roifman, Ata ur Rehman Quraishi, John L. Sapp, Chi Ming Chow, Paul Oh, David A. Wood, Marc Ruel, David Bewick, Ricky D. Turgeon, Nathaniel Moulson, Thais Coutinho, Sean Hardiman, Shelley Zieroth |
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| Rok vydání: | 2020 |
| Předmět: |
Canada
Process management Coronavirus disease 2019 (COVID-19) Process (engineering) Distancing medicine.medical_treatment media_common.quotation_subject Pneumonia Viral MEDLINE 030204 cardiovascular system & hematology Risk Assessment Article Betacoronavirus 03 medical and health sciences 0302 clinical medicine Telerehabilitation medicine Humans Quality (business) 030212 general & internal medicine Pandemics Repurposing media_common Infection Control Cardiac Rehabilitation Rehabilitation SARS-CoV-2 business.industry COVID-19 Organizational Innovation Cardiovascular Diseases Models Organizational Coronavirus Infections Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Canadian Journal of Cardiology Canadian Journal of Cardiology |
| ISSN: | 0828-282X |
| DOI: | 10.1016/j.cjca.2020.06.006 |
| Popis: | Cardiac rehabilitation programs across Canada have suspended in-person services as a result of large-scale physical distancing recommendations designed to flatten the COVID-19 pandemic curve. Virtual cardiac rehabilitation (VCR) offers an alternate mechanism of care delivery, capable of providing similar patient outcomes and safety profiles compared to centre-based programs. In order to minimize care gaps, all centres should consider developing and implementing a VCR program. The process of this rapid implementation however can be daunting. Centres should initially focus on the collation, utilization and re-purposing of existing resources, equipment, and technology. Once established, programs should then focus on ensuring that quality indicators are met and care processes are protocolized. This should be followed by the development of sustainable VCR solutions to account for care gaps that existed prior to COVID-19, and to improve cardiac rehabilitation delivery moving forward. This article reviews the potential challenges and obstacles of this process and aims to provide pragmatic guidance to aid clinicians and administrators during this challenging time. Virtual cardiac rehabilitation offers an alternate mechanism of care delivery to ensure cardiovascular patients receive this guideline-based therapy during the COVID-19 pandemic. The challenges and obstacles associated with implementation of virtual cardiac rehabilitation program are reviewed and pragmatic guidance to aid clinicians and administrators is provided. |
| Databáze: | OpenAIRE |
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