心脏康复可持续发展的医疗模式探索

Exploration of the medical model for the sustainable development of cardiac rehabilitation

大量循证医学表明,规范的心脏康复可以降低患者的死亡率,改善患者生活质量,同时减少患者医疗费用,将为减少目前中国社会的心血管疾病负担带来希望。目前,中国的心脏康复中心日益增多,但却面临患者接受度不高,投入产出失衡,无法实现可持续发展。文章在阜外医院极其医联体实践心脏康复的经验基础上,打破传统医疗体验,从患者"刚需"入手。探索临床路径与康复路径整合,以患者认知、体验,疗效为核心竞争力及KPI指标,横向联合院内科室,纵向统筹中心内多学科,践行中西医结合,真正实现心脏康复的可持续发展,为使心脏康复对患者、医院、社会带来更多获益。

A large number of medical evidences show that standardized cardiac rehabilitation （CR） can decrease the death rate of the patients, improve their quality of life, and reduce the medical cost, which will bring hope to ease the cardiovascular disease burden for the society of China. Though there have been more and more cardiac rehabilitation centers set up in China, they can not achieve sustainable development due to low acceptability in the patients or unbalanced input-output. On the basis of the CR experience in Fuwai Hospital and the AUiance, this article breaks the traditional medical practice pattern and starts with the patients＇ rigid demands. It explores the possibility to integrate clinical pathway with rehabilitation pathway by setting the patients＇ cognition, experience and curative effect as core-competitiveness and key performance indicators. It also adopts the combination of Chinese traditional medicine with western medicine by transversally collaborating with the departments in the hospital and deeply cooperating with multiple disciplines. Ultimately it will realize the sustainable development of CR and will benefit the patients, the hospitals, even the whole society.