Campbell N C, Grimshaw J M, Rawles J M, Ritchie L D
Department of General Practice, University of Aberdeen.
J Public Health Med. 1996 Dec;18(4):478-80. doi: 10.1093/oxfordjournals.pubmed.a024548.
Cardiac rehabilitation is an effective intervention, lowering mortality following myocardial infarction and reducing morbidity in patients with coronary heart disease. However, its level of provision was unclear. This study aimed to provide a comprehensive description in Scotland.
A national survey of hospital, general practice and community sources was conducted in 1994 to identify cardiac rehabilitation programmes in Scotland. Detailed information about each programme was collected by computer-assisted telephone interviews.
Sixty-nine programmes were identified, providing out-patient cardiac rehabilitation to 4980 patients and in-patient cardiac rehabilitation to 8920 patients. This represented 17 per cent and 30 per cent of patients admitted to hospital with coronary heart disease (excluding heart failure), respectively. There was considerable geographical variation in provision and dependence on sources outside the health service for much funding.
Despite evidence of benefits from randomized trials, the overall provision of cardiac rehabilitation in Scotland was low. Considerable inequity was demonstrated between different health board areas. There is opportunity for better provision, which would improve care for many patients with coronary heart disease.
心脏康复是一种有效的干预措施，可降低心肌梗死后的死亡率，并减少冠心病患者的发病率。然而，其提供水平尚不清楚。本研究旨在全面描述苏格兰的情况。
1994年对医院、全科医疗和社区资源进行了全国性调查，以确定苏格兰的心脏康复项目。通过计算机辅助电话访谈收集了每个项目的详细信息。
共确定了69个项目，为4980名患者提供门诊心脏康复服务，为8920名患者提供住院心脏康复服务。这分别占因冠心病（不包括心力衰竭）住院患者的17%和30%。在服务提供方面存在相当大的地域差异，且许多资金依赖于卫生服务以外的来源。
尽管随机试验证明了心脏康复的益处，但苏格兰心脏康复的总体提供水平较低。不同卫生委员会地区之间存在明显的不公平现象。有机会提供更好的服务，这将改善许多冠心病患者的护理。
