[Clinical and organizational evidence of the efficacy and effectiveness from cardiac rehabilitation: an update].
The increasing evidence on the favourable cost/effectiveness impact of the comprehensive cardiac rehabilitation program for the treatment of a wide spectrum of cardiovascular conditions have imposed to healthcare services a major attention on a critical analysis of the results in different clinical indications and delivery organisations. The Regional Health Agency of Liguria, in the occasion of drawing up regional guidelines directed to define the clinical indications and the effectiveness of the cardiac rehabilitation delivery model (in-patients, out-patients and home-based) and its requisites, indications and procedures, has updated the reference guidelines (PLNG and SIGN) with the evidence provided by the more recent literature, focusing its attention on the clinical and, in particular, organizational effectiveness. The document, on the base of these evidences, provides some effective proposals and some organizational advices.
Griffo
Raffaele
R
U.O. Cardiologia Riabilitativa, Ospedale La Colletta, Arenzano, GE, Italy. Raffaele.griffo@asl3.liguria.it
Gigli
Guido
G
Bertoli
Daniele
D
Corsiglia
Luca
L
Emanuelli
Flavia
F
Colotto
Palamede
P
Andreoli
Giovanni
G
Flego
Gaddo
G
D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000191:economics; D003362:Cost-Benefit Analysis; D019317:Evidence-Based Medicine; D017408:Guidelines as Topic; D006801:Humans; D007558:Italy; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care / Q000191:economics* / Q000458:organization & administration*; D015397:Program Evaluation; D012040:Regional Health Planning