ArticleInternational journal of environmental research and public health2025
Barriers and Facilitators of Cardiac Rehabilitation in a Middle-Income Country: A Qualitative Study from China.
Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Article
- Phone-based motivational interviewing intervention among patients undergoing cardiac rehabilitation: A randomized controlled trial in China.Belitung nursing journal · 2026Article
- Factors influencing cardiovascular patients to complete phase II cardiac rehabilitation - a qualitative study.BMC cardiovascular disorders · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
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Abstract
backgroundAlthough effective and recommended by guidelines worldwide, Cardiac Rehabilitation (CR) remains scarce and underutilized. CR implementation has taken place in middle-income countries, but the progress is influenced by both positive and negative factors that remain underexplored. This study identified the barriers and facilitators of CR in a middle-income country, specifically China.
methodsAn exploratory qualitative study was conducted using semi-structured interviews.
resultsFifteen CR stakeholders were interviewed. According to the interviewees, the delivery of CR is impeded due to a lack of resources, a lack of CR professionals, and a lack of coordination between health institutions. The participation of CR is hindered by a lack of awareness, a lack of reimbursement, and a lack of access to CR. However, the interviewees also mentioned facilitating factors, namely, a positive attitude of stakeholders, high motivation of some patients, and policy support.
conclusionsMore awareness regarding the effectiveness of CR is needed. Implementing CR in secondary and primary health institutions could overcome the barriers regarding travel distance and transportation to faraway hospitals. The CR reimbursement methods are needed to ease the financial burden on patients. Our findings reveal factors that need to be considered by policymakers to deliver CR on a wider scale in China.
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Registered trials
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