State of the art and perspectives for cardiovascular rehabilitation in Brazil
DOI:
https://doi.org/10.33233/fb.v23i5.5173Keywords:
cardiac rehabilitation, cardiovascular prevention, health policiesAbstract
Introduction: Numerous benefits of cardiovascular rehabilitation programs (CRP) have already been documented through randomized clinical trials and meta-analyses. However, chronic non-communicable diseases, especially cardiovascular diseases (CVD) have been increasing in Brazil. There is a large gap between the knowledge and recommendation of this strategy for the prevention of CVD, a lack of cardiovascular rehabilitation services (CVR) linked to the Unified Health System (SUS), a lack of universalization of the service in all spheres, as well as lack of an integration system that encompasses them. Objective: To scrutinize the reasons why RCV has not yet been universalized by the SUS. Methods: Narrative review carried out in online library systems and search engines, document analysis on official Brazilian government websites, SUS Audit System website, Ministry of Health manuals, and revoked regulations cited in updated legislation. Results: There are insurmountable barriers related to provider and system levels for better patient adherence to CRP. Conclusion: Referral actions to CRP should be promoted before hospital discharge, information and training related to the benefits of CVR for primary care professionals should be improved, and conduct manuals should be proposed to counter the lack of referral.
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