Rehabilitation of Cardiovascular Diseases in China.

IF 1.8 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Sheng-Shou Hu
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引用次数: 0

Abstract

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 12th 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.

中国心血管疾病的康复
中国心血管健康与疾病年度报告(2022)中国心血管健康的复杂景观。结合上一节,报告第12节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,其临床效益已被越来越多的证据证明。心脏康复中心不断增加,标准不断提高。尽管发展和进步很快,但目前仍存在较大的不足,如患者和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;心脏康复发展参差不齐,主要集中在经济发达地区的三级医院;缺乏高水平的循证证据,质量控制和安全标准有待提高;医疗支付制度不完善;缺乏系统的培训和入院制度,阻碍了心脏康复在中国的发展。因此,需要不断加强心脏康复中心的建设,从三级医院下沉到二级、一级医疗服务中心;鼓励心脏康复的临床研究;就质量控制和安全标准达成共识;进一步探讨III期心脏康复;加大高新技术、人工智能等融合投入。利用中医的独特优势,探索符合中国国情的中国特色心脏康复模式。循证医学证实,康复是降低脑卒中致残率最有效的方法,也是脑卒中有组织管理模式中不可缺少的关键环节。康复应涵盖脑卒中治疗的整个过程。完善康复医疗管理制度,稳步提高康复医疗服务能力,拓展多样化服务方式,重视早期全方位康复治疗,对脑卒中康复具有重要的临床价值和社会意义。
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来源期刊
Journal of Geriatric Cardiology
Journal of Geriatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-GERIATRICS & GERONTOLOGY
CiteScore
3.30
自引率
4.00%
发文量
1161
期刊介绍: JGC focuses on both basic research and clinical practice to the diagnosis and treatment of cardiovascular disease in the aged people, especially those with concomitant disease of other major organ-systems, such as the lungs, the kidneys, liver, central nervous system, gastrointestinal tract or endocrinology, etc.
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