Publicly versus privately funded cardiac rehabilitation: access and adherence barriers. A cross-sectional study

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorEgas Moniz-Cooperativa de Ensino Superior (CRL)-
Autor(es): dc.contributorYork University-
Autor(es): dc.contributorUniversity of Toronto-
Autor(es): dc.creatorBorges, Giovanna Lombardi Bonini-
Autor(es): dc.creatorda Cruz, Mayara Moura Alves-
Autor(es): dc.creatorRicci-Vitor, Ana Laura-
Autor(es): dc.creatorda Silva, Paula Fernanda-
Autor(es): dc.creatorGrace, Sherry Lynn-
Autor(es): dc.creatorVanderlei, Luiz Carlos Marques-
Data de aceite: dc.date.accessioned2025-08-21T17:24:26Z-
Data de disponibilização: dc.date.available2025-08-21T17:24:26Z-
Data de envio: dc.date.issued2022-05-01-
Data de envio: dc.date.issued2022-05-01-
Data de envio: dc.date.issued2021-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/1516-3180.2020.0782.R1.31052021-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/234055-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/234055-
Descrição: dc.descriptionBACKGROUND: Cardiac rehabilitation (CR) barriers are well-understood in high-resource settings. However, they are under-studied in low-resource settings, where access is even poorer and the context is significantly different, including two-tiered healthcare systems and greater socioeconomic challenges. OBJECTIVE: To investigate differences in characteristics of patients attending publicly versus privately funded CR and their barriers to adherence. DESIGN AND SETTING: Observational, cross-sectional study in public and private CR programs offered in Brazil. METHODS: Patients who had been attending CR for ≥ 3 months were recruited from one publicly and one privately funded CR program. They completed assessments regarding sociodemographic and clinical characteristics and the CR Barriers Scale. RESULTS: From the public program, 74 patients were recruited, and from the private, 100. Participants in the public program had significantly lower educational attainment (P < 0.001) and lower socioeconomic status (P < 0.001). Participants in the private program had more cognitive impairment (P = 0.015), and in the public program more anxiety (P = 0.001) and depressive symptoms (P = 0.008) than their counter-parts. Total barriers among public CR participants were significantly higher than those among private CR participants (1.34 ± 0.26 versus 1.23 ± 0.15/5]; P = 0.003), as were scores on 3 out of 5 subscales, namely: comorbidities/functional status (P = 0.027), perceived need (P < 0.001) and access (P = 0.012). CONCLUSION: Publicly funded programs need to be tailored to meet their patients’ requirements, through consideration of educational and psychosocial matters, and be amenable to mitigation of patient barriers relating to presence of comorbidities and poorer health status.-
Descrição: dc.descriptionUniversidade Estadual Paulista-
Descrição: dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)-
Descrição: dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)-
Descrição: dc.descriptionDepartment of Physiotherapy School of Technology and Sciences Universidade Estadual Paulista (UNESP), SP-
Descrição: dc.descriptionEscola Superior de Saúde Egas Moniz (ESSEM) Egas Moniz-Cooperativa de Ensino Superior (CRL)-
Descrição: dc.descriptionFaculty of Health York University-
Descrição: dc.descriptionKITE & Peter Munk Cardiac Centre University Health Network University of Toronto-
Descrição: dc.descriptionDepartment of Physiotherapy School of Technology and Sciences Universidade Estadual Paulista (UNESP), SP-
Descrição: dc.descriptionFAPESP: 2018/18276-6-
Descrição: dc.descriptionCNPq: 46124-
Formato: dc.format108-114-
Idioma: dc.languageen-
Relação: dc.relationSao Paulo Medical Journal-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCardiac rehabilitation-
Palavras-chave: dc.subjectCardiovascular diseases-
Palavras-chave: dc.subjectDelivery of health care-
Palavras-chave: dc.subjectPrivate sector-
Palavras-chave: dc.subjectPublic sector-
Palavras-chave: dc.subjectSurveys and questionnaires-
Título: dc.titlePublicly versus privately funded cardiac rehabilitation: access and adherence barriers. A cross-sectional study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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