Current Status of Cardiac Rehabilitation in China: A Cross-sectional National Survey.
• Largest nationwide study quantifying cardiac rehabilitation (CR) availability across China. • Only 22.9% of Chinese hospitals offer CR, revealing profound urban–rural disparities. • Insufficient CR limits functional recovery gains and noncommunicable disease mortality prevention. • Findings offer...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 107; no. 8; pp. 2219 - 2227 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195995870&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195995870 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Aug2026 vid: 107 iid: 8 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 195995870 195995870 195995870 10.1016/j.apmr.2026.01.020 195995870 ppf: 2219 ppct: 8 formats: tig: atl: Current Status of Cardiac Rehabilitation in China: A Cross-sectional National Survey. aug: au: Zhang, Shu-Min Wu, Yi-Fan Li, Zuo-Zhi Wang, Chuang-Shi Wang, Yi Xiao, Ning Du, Hong-Yi Lin, Song Du, Ming-Zhao Wu, Yue Deng, Juan Su, Hong-Mei Yang, Wei-Xian Feng, Xue affil: Cardiac Rehabilitation Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing sug: subj: Rehabilitation, Cardiac China Program Evaluation Healthcare Disparities Implementation Science Human China Cross Sectional Studies Secondary Health Care Tertiary Health Care Hospitals, Urban Health Policy Functional Status Recovery Noncommunicable Diseases Prevention and Control Mortality Prevention and Control ab: • Largest nationwide study quantifying cardiac rehabilitation (CR) availability across China. • Only 22.9% of Chinese hospitals offer CR, revealing profound urban–rural disparities. • Insufficient CR limits functional recovery gains and noncommunicable disease mortality prevention. • Findings offer an urgent policy roadmap to expand access and address disparities. To investigate the current status of cardiac rehabilitation (CR) in China by assessing its national availability, program characteristics, and key barriers to implementation. Cross-sectional nationwide survey. Secondary and tertiary hospitals across 31 provinces in mainland China. Data were collected from 568 hospitals, including 347 secondary hospitals and 221 tertiary hospitals. Not applicable. National and regional availability of CR programs, operational models, staffing, equipment configuration, and perceived barriers to implementation. Only 22.9% of surveyed hospitals offered CR programs, with significant regional and hospital-level variations. Tertiary hospitals were more likely to provide CR than secondary hospitals. Regionally, the central region had the highest CR implementation rate (32.0%), followed by the eastern (22.5%) and western (16.3%) regions. Urban hospitals had greater CR availability (35.0%) than rural ones (13.8%). CR programs were predominantly managed by cardiology departments (65.4%), whereas only 13.8% had dedicated CR departments. Key barriers included limited equipment, insufficiently trained personnel, financial constraints, and low awareness among patients and health care providers. The availability of CR in China is critically low nationwide, indicating a systemic national shortage rather than a problem confined to rural or western regions. Nonetheless, substantial disparities persist by hospital tier, region, and urban–rural location. These findings underscore the urgent need for national policies to address this widespread shortage, strengthen professional training, and increase funding. Expanding CR access is important for optimizing functional recovery and may contribute to reducing preventable noncommunicable disease mortality, mitigating the cardiovascular disease burden, and achieving the goals of the "Healthy China 2030" initiative. [Display omitted] pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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