Models of cardiac rehabilitation

BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7141.1329 (Published 02 May 1998) Cite this as: BMJ 1998;316:1329

Multidisciplinary rehabilitation is worthwhile, but how is it best delivered?

  1. D P de Bono, Professor of cardiology (daviddebono@compuserve.com)
  1. Department of Medicine and Therapeutics, University of Leicester, Glenfield Hospital, Leicester LE3 9QP

    Papers p 1354

    The survey by Lewin and colleagues of cardiac rehabilitation in the United Kingdom paints a picture of services predominantly provided by nurses and physiotherapists, with little formal input from physicians or psychologists, and a need both for more extensive use of validated methods of assessment and of formal audit (p 1354).1 Clinicians will bristle (I bristled) at the insinuation that they are not involved in rehabilitation. Cardiac and general medical outpatients clinics are full, we say, of patients being followed up after myocardial infarction or cardiac surgery. In theory (our theory) this should run parallel with and form part of the formal rehabilitation process. In practice, it often does not. Ten minutes of structured consultant time in the context of …

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