Why the study?
Russian health care faces the need to reduce mortality and disability in coronary heart disease, but lacks a publicly available outpatient rehabilitation and secondary prevention system.
Highlights the systemic and behavioral barriers to implementing effective outpatient cardiac rehabilitation and secondary prevention in Russia.
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Underutilization in Russia limits mortality gains from cardiac rehabilitation; leaves open optimal family doctor-led strategies to boost participation.
Russian health care faces the task of reducing mortality and disability of patients with coronary heart disease. This problem could be solved with outpatient rehabilitation and secondary prevention. Despite of numerous evidences of their effectiveness there is no publicly available system for the management of patients with the addition of non-drug treatments to drug therapy in our country. This is due to the lack of material and technical base, a sufficient number of specialists, underestimation of this method by the physicians and low patients’ motivation. A special problem is the patient behavior itself, which can be described as “irrational”.
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Protasov et al. (2019) conducted a review in Coronary heart disease. Cardiac rehabilitation vs. Usual care was evaluated.
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