Hu Sheng-Shou
The Writing Committee of the Report on Cardiovascular Health and Diseases in China.
J Geriatr Cardiol. 2024 Nov 28;21(11):1003-1014. doi: 10.26599/1671-5411.2024.11.007.
The Annual Report on Cardiovascular Health and Diseases in China (2022) intricate landscape of cardiovascular health in China. In connection with the previous section, this 12 section of the report offers a comprehensive analysis of rehabilitation of cardiovascular diseases. In recent years, China's cardiac rehabilitation has developed vigorously, and its clinical benefits have been proven by more and more evidences. More cardiac rehabilitation centers are built and standards are constantly being promoted. Despite the rapid development and progress, there are still major shortcomings in the current situation, such as lack of awareness among patients and families about the significance and importance of cardiac rehabilitation, and under participation in cardiac rehabilitation; the development of cardiac rehabilitation is uneven, with the majority concentrated in tertiary hospitals in economically developed areas; lack of high-level evidence-based evidences, quality control and safety standards need to be improved; the medical payment system is not thorough; lack of a systematic training and admission system, hindering the development of cardiac rehabilitation in China. Therefore, continuous efforts are needed to strengthen the construction of cardiac rehabilitation centers, which should sink from tertiary hospitals to secondary and primary medical service centers; encourage clinical research on cardiac rehabilitation; introduce consensus on quality control and safety standards; explore more on phase III cardiac rehabilitation; increase investment in integrating high-tech, artificial intelligence, etc. With the unique advantages of traditional Chinese medicine, exploring a Chinese characteristic cardiac rehabilitation model that is in line with China's national conditions. Evidence-based medicine has confirmed that rehabilitation is the most effective method to reduce the disability rate of stroke, and it is also an indispensable key sector in the organized management model of stroke. Rehabilitation should span the entire process of stroke treatment. Perfecting the rehabilitation medical management system, steadily improving the rehabilitation medical service capacity, expanding diversified service methods, and emphasizing early and whole-range rehabilitation treatment have important clinical value and social significance for stroke rehabilitation.
《中国心血管健康与疾病报告2022》展现了中国心血管健康的复杂图景。与上一节相关联，本报告的这一部分对心血管疾病的康复进行了全面分析。近年来，中国心脏康复蓬勃发展，越来越多的证据证明了其临床益处。建立了更多的心脏康复中心，标准也在不断推进。尽管取得了快速发展和进步，但目前仍存在重大不足，例如患者及其家属对心脏康复的意义和重要性认识不足，参与心脏康复的程度较低；心脏康复发展不均衡，大部分集中在经济发达地区的三级医院；缺乏高级别的循证依据，质量控制和安全标准有待提高；医疗支付体系不完善；缺乏系统的培训和准入体系，阻碍了中国心脏康复的发展。因此，需要持续努力加强心脏康复中心的建设，使其从三级医院下沉到二级和基层医疗服务中心；鼓励开展心脏康复的临床研究；引入质量控制和安全标准的共识；进一步探索三期心脏康复；增加对整合高科技、人工智能等的投入。结合中医药的独特优势，探索符合中国国情的特色心脏康复模式。循证医学已证实康复是降低卒中致残率最有效的方法，也是卒中组织化管理模式中不可或缺的关键环节。康复应贯穿卒中治疗的全过程。完善康复医疗管理体系，稳步提升康复医疗服务能力，拓展多元化服务方式，强调早期和全程康复治疗，对卒中康复具有重要的临床价值和社会意义。
