Woodruffe Stephen, Neubeck Lis, Clark Robyn A, Gray Kim, Ferry Cate, Finan Jenny, Sanderson Sue, Briffa Tom G
Ipswich Cardiac Rehabilitation Service, West Moreton Hospital and Health Service, Ipswich QLD 4305.
Sydney Nursing School, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006; The George Institute for Global Health, Camperdown, NSW 2050.
Heart Lung Circ. 2015 May;24(5):430-41. doi: 10.1016/j.hlc.2014.12.008. Epub 2015 Jan 12.
Research on Australian cardiovascular disease secondary prevention and cardiac rehabilitation to guide practice needs updating to reflect current context of practice. It is timely therefore to review the core components that underpin effective services that deliver maximum benefits for participants.
The Australian Cardiovascular Health and Rehabilitation Association (ACRA) convened an inter-agency, multidisciplinary, nationally representative expert panel of Australia's leading cardiac rehabilitation clinicians, researchers and health advocates who reviewed the research evidence.
Five core components for quality delivery and outcomes of services were identified and are recommended: 1) Equity and access to services, 2) Assessment and short-term monitoring, 3) Recovery and longer term maintenance, 4) Lifestyle/behavioural modification and medication adherence, and 5) Evaluation and quality improvement.
ACRA seeks to provide guidance on the latest evidence in cardiovascular disease secondary prevention and cardiac rehabilitation. Clinicians should use these core components to guide effective service delivery and promote high quality evidence based care. Directors of hospitals and health services should use these core components to aid decision-making about the development and maintenance of these services.
澳大利亚心血管疾病二级预防及心脏康复研究以指导实践，需要更新以反映当前的实践背景。因此，及时回顾支撑能为参与者带来最大益处的有效服务的核心组成部分很有必要。
澳大利亚心血管健康与康复协会（ACRA）召集了一个跨机构、多学科、具有全国代表性的专家小组，成员包括澳大利亚顶尖的心脏康复临床医生、研究人员和健康倡导者，他们对研究证据进行了审查。
确定并推荐了服务质量提供和结果的五个核心组成部分：1）服务的公平性和可及性，2）评估和短期监测，3）康复和长期维持，4）生活方式/行为改变和药物依从性，5）评估和质量改进。
ACRA旨在为心血管疾病二级预防和心脏康复的最新证据提供指导。临床医生应使用这些核心组成部分来指导有效的服务提供，并促进基于高质量证据的护理。医院和卫生服务机构的负责人应使用这些核心组成部分来辅助有关这些服务的开发和维持的决策。
