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Panminerva Medica 2021 May 05

DOI: 10.23736/S0031-0808.21.04314-7

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

The clinical management of cardiac rehabilitation

Esteban GARCIA-PORRERO 1 , Mirna A. ANDRADE 2

1 Past President of the Iberoamerican Society of Prevention and Cardiovascular Rehabilitation (SIPRERECA), León, Spain; 2 President of the Iberoamerican Society of Prevention and Cardiovascular Rehabilitation, León, Spain


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Cardiac rehabilitation (CR) has pioneered using multidisciplinary teams to attend to all aspects of a patient's illness with high levels of professionalism and quality, provide individualized treatment, and negotiate any changes in lifestyle and treatment course. Clinical management transfers the management capacity and to professionals, thus avoiding any increase in costs and healthcare spending, which can result in quality losses and less social legitimacy. Modern CR has been configured as the most effective comprehensive cardiovascular prevention strategy and must be a part of all cardiovascular health-related processes as a sub-process given its preventive nature. Quality of care is the fundamental pillar of healthcare and CR, together with the sustainability of the system. Its improvement allows for better rationalization of resources, reduces costs, and offers safer care focused on the needs of the patient. The definition of the technical competencies of the different professionals (functions of the members of the CR unit) is a necessity both from the point of view of its teaching utility, as well as planning and management of health services. For a CR team to be able to carry out clinical management by the quality and safety processes, it needs members who possess professionalism, leadership, adequate communication, adequate training and knowledge management.


KEY WORDS: Cardiac Rehabilitation D000072038; Professionalism D000068516; Patient safety D061214

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