Helen Hayes Hospital, West Haverstraw, NY 10993, USA.
Circulation. 2012 Nov 20;126(21):2535-43. doi: 10.1161/CIR.0b013e318277728c. Epub 2012 Oct 22.
Medical directors of cardiac rehabilitation/secondary prevention (CR/SP) programs are responsible for the safe and effective delivery of high-quality CR/SP services to eligible patients. Yet, the training and resources for CR/SP medical directors are limited. As a result, there appears to be considerable variability throughout CR/SP programs in the United States in the roles, responsibilities, and engagement of CR/SP medical directors. Since the publication of the 2005 scientific statement from the American Heart Association and American Association of Cardiovascular and Pulmonary Rehabilitation regarding medical director responsibilities for outpatient CR/SP programs, significant changes have occurred. This statement updates the responsibilities of CR/SP medical directors, in view of changes in federal legislation and regulations and changes in health care delivery and clinical practice that impact the roles and responsibilities of CR/SP medical directors.
心脏康复/二级预防（CR/SP）项目的医疗主任负责向符合条件的患者安全有效地提供高质量的 CR/SP 服务。然而，CR/SP 医疗主任的培训和资源有限。因此，在美国的 CR/SP 项目中，CR/SP 医疗主任的角色、职责和参与度存在相当大的差异。自 2005 年美国心脏协会和美国心血管和肺康复协会发布关于门诊 CR/SP 项目医疗主任职责的科学声明以来，情况发生了重大变化。鉴于联邦立法和法规的变化以及医疗服务提供和临床实践的变化，这些变化影响了 CR/SP 医疗主任的角色和职责，本声明更新了 CR/SP 医疗主任的职责。
