Chandel Mahak, Shashi, Yashomati, Hemlata, Nagi Manisha, Ghai Sandhya, Khurana Dheeraj, Manju Dhandapani, S S Dhandapani
Assessment of Utilization of Rehabilitation Services among Stroke Survivors
Journal of neurosciences in rural practice
patient diseasespecific data cardiac rehabilitation cr participation changes time limited objective study describe time trends cr participation 2013 2019 provides insights utilization cr components patients cardiovascular disease cvd indication cr enrolled 2013 2019 dutch health insurance claims data used identify cr participation components total 106 212 patients cvd included 37 participated cr participation significantly increased 28 2013 41 2016 remained unchanged thereafter participation highest youngest age groups 50 yrs 52 5065 yrs 50 men 48 patients stsegment elevation myocardial infarction 73 nonstsegment elevation myocardial infarction 59 coronary artery bypass grafting 82 contrast lowest oldest age group 85 yrs 8 women 30 patients heart failure 11 participants cr received referral plus admission session 97 exercise training 82 whereas complementary services related dietary 14 mental health counseling 10 low utilization cr participation rates increased 41 2016 remained unchanged thereafter participation modulators included age sex cvd diagnosis undergoing cardiothoracic procedure education exercise sessions frequently adopted dietary mental health counseling low utilization rate findings suggest need reinvigorated referral novel enrollment strategies specific cvd subgroups promote cr participation associated underutilized adjunctive services