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Adult nursing
Home-based model is an important cost-effective alternative to centre-based cardiac rehabilitation
  1. Ladislav Batalik1,2,
  2. Jing Jing Su3
  1. 1 Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic
  2. 2 Department of Rehabilitation, University Hospital Brno, Brno, Czech Republic
  3. 3 School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong
  1. Correspondence to Dr Ladislav Batalik, Department of Public Health, Masaryk University, Brno 601 77, Czech Republic; batalik.ladislav{at}fnbrno.cz

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Commentary on: Shields GE, Rowlandson A, Dalal G, Nickerson S, Cranmer H, Capobianco L, Doherty P. Cost-effectiveness of home-based cardiac rehabilitation: a systematic review. Heart. 2023 Feb 27:heartjnl-2021-320459. doi: 10.1136/heartjnl-2021-320459. Epub ahead of print.

Implications for practice and research

  • Home-based cardiac rehabilitation (CR) is a cost-effective alternative/supplementary model to increase CR accessibility, improve health benefits and reduce health service use.

  • More robust clinical trials are needed as the heterogeneity in design, particularly the intervention dosage, staffing models, telehealth features, hybrid approach and individual costs, challenges the evidence base.

  • The psychological care component is missing in the current cost-effectiveness analysis of home-based CR.

Context

Despite evidence that exercise-based cardiovascular rehabilitation (CR) is an effective intervention, patient uptake and adherence are uncertain. Recent research suggests that home-based CR interventions are as effective and safe as those supervised in a centre.1 Therefore, home-based telemedicine programmes may be …

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.