Volume 19 Issue 8
Aug.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(8): 1330-1335，1418
WANG Ying, CHEN Bi-hua, LI Qing, JING Ling, WANG Lin-chuang. Construction and practice of cardiac rehabilitation in the community projects aims at constructing the clinical path of community general practice care under hierarchical medical system[J]. Chinese Journal of General Practice, 2021, 19(8): 1330-1335，1418. doi: 10.16766/j.cnki.issn.1674-4152.002053
Citation: WANG Ying, CHEN Bi-hua, LI Qing, JING Ling, WANG Lin-chuang. Construction and practice of cardiac rehabilitation in the community projects aims at constructing the clinical path of community general practice care under hierarchical medical system[J]. Chinese Journal of General Practice, 2021, 19(8): 1330-1335，1418. doi: 10.16766/j.cnki.issn.1674-4152.002053
shu

Construction and practice of cardiac rehabilitation in the community projects aims at constructing the clinical path of community general practice care under hierarchical medical system

doi: 10.16766/j.cnki.issn.1674-4152.002053
  • 1.

    Longhua Street Community Health Service Center, Xuhui District, Shanghai 200232, China

Funds:

 201940388

 SHXH201721

 SHXH201723

  • Received Date: 2021-05-20
    Available Online: 2022-02-16
    Abstract
  •   Objective  For summary and evaluation of the protype at practice, this research recruited cardiac rehabilitation professionals for in-depth interviews to know the status quo of cardiac rehabilitation service carried out at Longhua community and comb the cardiac rehabilitation in the community to carry out the conditions and requirements and the clinical path of community general practice care to provide reference for the construction.   Methods   From March 25 to March 31, 2019, nine members of the institute who participated in the construction of the cardiac rehabilitation project were interviewed voluntarily through a one-on-one structured interview. The nine members fully covered the Departments of General Practice, Nursing, Rehabilitation and Management which were involved in cardiac rehabilitation. The outline of the interview was prepared according to the research objectives, involving three aspects of service targets, service content and resource allocation. The interview method was phone interview, which lasted 40-60 minutes. The interview outline was issued in advance to inform the purpose of the interview. The interview was recorded after permission. The results of the interview were structured according to the service target's admission and pre-entry assessment, service intervention measures, related resource allocation goals and current situation.   Results   After 448 days of construction, the construction of team members' ability has been basically completed. To implement and run cardiac rehabilitation regularly, corresponding equipment and facilities, software system support and human resources allocation need to be improved.   Conclusion   Cardiac rehabilitation is suitable to be carried out in the community, and the appropriate combination and coordination of relevant participants can be qualified for the intervention of the five major prescriptions(rational drug use, regular sports, good mentality, weight and diet control, quit smoking and drink) for cardiac rehabilitation. However, because cardiac rehabilitation matches the characteristics of general practice, it has considerable complexity and comprehensiveness. To run normally, the top-level design at the beginning of the project and the resources in the running process are timely in place, which is very important and determines the speed and effectiveness of the project construction.

     

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