York University and University Health Network, Toronto, Ontario, Canada.
J Cardiopulm Rehabil Prev. 2013 Mar-Apr;33(2):128-31. doi: 10.1097/HCR.0b013e318284ec82.
Cardiovascular disease remains the leading cause of death in both women and men globally and is a growing epidemic in low- to middle-income countries. Without systematic access to cardiac rehabilitation (CR), these individuals may experience multiple recurrent acute care events and suffer unnecessarily premature death. The 2 aims of this Charter are (1) to bring together national associations from around the world to harmonize efforts in promoting cardiovascular prevention and rehabilitation and (2) to document consensus among national associations globally, regarding the internationally common core elements and benefits of cardiovascular disease prevention and rehabilitation. The Global Charter on CR calls to action those responsible for administering patient care to (a) establish CR as an obligatory, not optional service, and (b) to support countries to establish and augment programs of CR to ensure broad access to these proven services. In addition, the Charter calls for CR organizations and associations in high-income countries to collaborate with those in low- to middle-income countries, to support capacity building and provide tangible toolkits for program development and maintenance. The aim of this Charter is to maintain and grow this global consortium through partnerships with international organizations and to consider and communicate ongoing consensus of evidence-based standards for CR worldwide.
心血管疾病仍然是全球男女死亡的主要原因，也是中低收入国家日益严重的流行疾病。如果没有系统地获得心脏康复（CR），这些人可能会经历多次急性护理事件，并遭受不必要的过早死亡。该宪章的两个目标是：（1）汇集来自世界各地的国家协会，协调努力，促进心血管预防和康复；（2）记录全球各国协会之间关于心血管疾病预防和康复的国际共同核心要素和益处的共识。全球心脏康复宪章呼吁负责管理患者护理的人员采取行动：（a）将 CR 确立为强制性服务，而非可选服务；（b）支持各国建立和扩大 CR 计划，以确保广泛获得这些经过验证的服务。此外，宪章呼吁高收入国家的 CR 组织和协会与中低收入国家合作，支持能力建设，并为方案的制定和维护提供切实可行的工具包。本宪章的目的是通过与国际组织建立伙伴关系，维护和扩大这一全球联盟，并考虑和交流全球心脏康复循证标准的持续共识。
