Standards and outcome measures in Cardiovascular Rehabilitation. Position Paper GICR/IACPR

https://doi.org/10.4081/monaldi.2012.111

Authors

  • Raffaele Griffo | r.griffo@libero.it Direzione scientifica Istituto Cardiovascolare Camogli (GE), Italy.
  • Marco Ambrosetti UO Cardiologia e Angiologia Riabilitativa, Clinica Le Terrazze, Cunardo (VA), Italy.
  • Giuseppe Furgi Divisione di Cardiologia, Fondazione S. Maugeri, IRCCS, Istituto di Telese Terme (BN), Italy.
  • Roberto Carlon U.O.A. di Cardiologia, Azienda ULSS 15 “Alta Padovana”, Presidio Ospedaliero di Cittadella (PD), Italy.
  • Carmine Chieffo Raggruppamento di Riabilitazione Cardiorespiratoria, Clinic Center, Napoli, Italy.
  • Giuseppe Favretto UO di Cardiologia Riabilitativa e Preventiva, Ospedale Riabilitativo di alta Specializzazione, Motta di Livenza (TV), Italy.
  • Oreste Febo Divisione di Cardiologia, Fondazione S. Maugeri, IRCCS, Istituto di Montescano, Montescano (PV), Italy.
  • Ugo Corrà Divisione di Cardiologia, Fondazione S. Maugeri, IRCCS, Istituto di Veruno, Veruno (NO), Italy.
  • Francesco Fattirolli S.O.D. Riabilitazione Cardiologica, Dipartimento Medicina Sperimentale e Clinica Università di Firenze, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
  • Pantaleo Giannuzzi Divisione di Cardiologia, Fondazione S. Maugeri, IRCCS, Istituto di Veruno, Veruno (NO), Italy.
  • Cesare Greco U.O.C. Cardiologia III, Ospedale San Giovanni-Addolorata, Roma, Italy.
  • Massimo F. Piepoli U.O.C. Cardiologia, Ospedale Guglielmo da Saliceto, Piacenza, Italy.
  • Pier Luigi Temporelli Divisione di Cardiologia, Fondazione S. Maugeri, IRCCS, Istituto di Veruno, Veruno (NO), Italy.
  • Roberto Tramarin
  • Stefano Urbinati U.O.C. Cardiologia, Ospedale Bellaria, AUSL di Bologna, Bologna, Italy.

Abstract

Despite major improvements in diagnostics and interventional therapies, cardiovascular diseases remain a major health care and socio-economic problem in Italy. Costs and resources required are increasing in close correlation to both the improved quality of care and to the population ageing. There is an overwhelming evidence of the efficacy of cardiac rehabilitation (CR) in terms of reduction in morbidity and mortality after acute cardiac events. CR services are by definition multi-factorial and comprehensive. Furthermore, systematic analysis and monitoring of the process of delivery and outcomes is of paramount importance. The aim of this position paper promoted by the Italian Association for Cardiovascular Prevention and Rehabilitation (GICR-IACPR) is to provide specific recommendations to assist CR staff in the design, evaluation and development of their care delivery organization. The position paper should also assist health care providers, insurers, policy makers and consumers in the recognition of the quality of care requirements, standards and outcome measure, quality and performance indicators, and professional competence involved in such organization and programs. The position paper i) include comprehensive CR definition and indications, ii) describes priority criteria based on the clinical risk for admission to both inpatient or outpatient CR, and iii) defines components and technological, structural and organizing requirements for inpatient or outpatient CR services, with specific indicators and standards, performance measures and required professional skills. A specific chapter is dedicated to the requirements for highly specialized CR services for patients with more advanced cardiovascular diseases.

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Published
2015-12-01
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Keywords:
cardiac rehabilitation, standards and outcome measure, quality care requirements, quality and performance indicators, professional competence.
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How to Cite
Griffo, Raffaele, Marco Ambrosetti, Giuseppe Furgi, Roberto Carlon, Carmine Chieffo, Giuseppe Favretto, Oreste Febo, Ugo Corrà, Francesco Fattirolli, Pantaleo Giannuzzi, Cesare Greco, Massimo F. Piepoli, Pier Luigi Temporelli, Roberto Tramarin, and Stefano Urbinati. 2015. “Standards and Outcome Measures in Cardiovascular Rehabilitation. Position Paper GICR/IACPR”. Monaldi Archives for Chest Disease 78 (4). https://doi.org/10.4081/monaldi.2012.111.

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