Key result
HBCR addresses COVID-19 care access barriers but requires standardization.
Why the study?
Despite being a class I treatment, cardiac rehabilitation is underutilized, and the COVID-19 pandemic exacerbated care gaps due to reduced on-site service availability, highlighting the need to evaluate home-based models.
The COVID-19 pandemic underscores the need for standardized and reimbursed home-based cardiac rehabilitation programs to ensure continuity of care.
Answers are grounded in this paper and cite their sources.
May support home-based cardiac rehabilitation during access disruptions; leaves open needs for standardization and reimbursement validation.
Cardiac rehabilitation (CR) is a class I treatment for cardiovascular disease, however, underutilization of these services remains. Home-based CR (HBCR) models have been implemented as a potential solution to addressing access barriers to CR services. Home-based models have been shown to be effective, however, there continues to be large variation of protocols and minimal evidence of effectiveness in higher risk populations. In addition, lack of reimbursement models has discouraged the widespread adoption of HBCR. During the coronavirus 2019 (COVID-19) pandemic, an even greater gap in CR care has been present due to decreased availability of on-site services. The COVID-19 pandemic presents a time to highlight the value and experiences of home-based models as clinicians search for ways to continue to provide care. Continued review and standardization of HBCR models are essential to provide care for a wider range of patients and circumstances.
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Drwal et al. (2020) conducted a review in Cardiovascular disease. Home-based cardiac rehabilitation was evaluated. Home-based cardiac rehabilitation models offer a valuable solution to address access barriers to care during the COVID-19 pandemic, though standardization is needed.
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