{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:50:21Z","timestamp":1787028621541,"version":"build-2736575974"},"reference-count":34,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T00:00:00Z","timestamp":1635465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["2020-ER6305-01"],"award-info":[{"award-number":["2020-ER6305-01"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Regional Cardiocerebrovascular Centers (RCCs)\u2014a Korean government initiative\u2014seek to reduce medical gaps across regions, and their cardiac rehabilitation (CR) programs are expected to model post-acute care for the Korean CR program. Accordingly, this study aimed to evaluate the current status of CR programs in the RCCs. We distributed surveys on the CR condition, activity, and barriers to 12 RCCs in different provinces. The results revealed significant gaps in the annual number of acute myocardial infarction admissions, and CR candidates, capacity, and density across the 12 RCCs. The CR capacity (50\u2013500) and density (0.42\u20137.36) indicated particularly large gaps. Twelve RCCs had the necessary facilities, equipment and personnel for CR assessments and management, with high CR referral (97%) and patient education (78%) rates. However, the inpatient CR exercise training (56%) participation rate was inadequate, with much lower enrollment (47%) and adherence (17%) rates to the outpatient CR program and large differences across centers. Therefore, this study\u2019s results will provide the evidence required to establish special national health strategies to overcome the CR barriers of patient, doctor\/hospital, and policy factors for activating Korean CR programs.<\/jats:p>","DOI":"10.3390\/jcm10215079","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T22:21:34Z","timestamp":1635805294000},"page":"5079","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea"],"prefix":"10.3390","volume":"10","author":[{"given":"Chul","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Seoul 01757, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jidong","family":"Sung","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1672-8875","authenticated-orcid":false,"given":"Jae-Young","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Chonnam National University Medical School and Hospital, Gwangju 61469, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sungju","family":"Jee","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Daejeon 35015, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2634-0375","authenticated-orcid":false,"given":"Jang Woo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang 10444, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Hwa","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Dong A University College of Medicine, Busan 49201, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1199-5707","authenticated-orcid":false,"given":"Won-Seok","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5280-122X","authenticated-orcid":false,"given":"Heui Je","family":"Bang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Chungbuk National University Hospital, Cheongju 28644, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sora","family":"Baek","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon 24289, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung-Lim","family":"Joa","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Inha University Hospital, Incheon 22332, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3765-3024","authenticated-orcid":false,"given":"Ae Ryoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, School of Medicine Kyungpook National University, Daegu 41944, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Jeju National University School of Medicine, Jeju 63241, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2758-124X","authenticated-orcid":false,"given":"Jihee","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan 54538, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0528-6189","authenticated-orcid":false,"given":"Chung Reen","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Ulsan University College of Medicine, Ulsan 44033, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7475-4612","authenticated-orcid":false,"given":"Oh Pum","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,10,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kim, H., Kim, S., Han, S., Rane, P.P., Fox, K.M., Qian, Y., and Suh, H.S. (2019). Prevalence and incidence of atherosclerotic cardiovascular disease and its risk factors in Korea: A nationwide population-based study. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7439-0"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.4070\/kcj.2015.45.3.202","article-title":"Thirty-year trends in mortality from cardiovascular diseases in Korea","volume":"45","author":"Lee","year":"2015","journal-title":"Korean Circ. J."},{"key":"ref_3","unstructured":"(2021, September 09). Cause of Death Statistics. Korean Statistical Information Service. Available online: https:\/\/kostat.go.kr\/portal\/korea\/kor_nw\/1\/6\/2\/index.board?bmode=read&aSeq=385219."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"OECD (2012). OECD Reviews of Health Care Quality: Korea 2012: Raising Standards. OECD Reviews of Health Care Quality, OECD.","DOI":"10.1787\/9789264173446-en"},{"key":"ref_5","unstructured":"Lewanczuk, R., Suskin, N., and Arthur, H.M. (2009). Principles of Chronic Disease Care. Canadian Guidelines for Cardiac Rehabilitation and Cardiovascular Disease Prevention: Translating Knowledge into Action, Canadian Association of Cardiac Rehabilitation. [3rd ed.]."},{"key":"ref_6","unstructured":"Lee, K.S. (2018). The Role and Designation Criteria of Cardio-Cerebrovascular Center, Ministry of Health and Welfare."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzv064","article-title":"The burden of acute myocardial infarction after a regional cardiovascular center project in Korea","volume":"27","author":"Kim","year":"2015","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_8","unstructured":"Scottish Intercollegiate Guidelines Network (SIGN) (2021, September 09). Cardiac Rehabilitation: A National Clinical Guideline. Available online: https:\/\/www.sign.ac.uk\/our-guidelines\/sign-57-cardiac-rehabilitation\/."},{"key":"ref_9","unstructured":"Adams, P., Bennet, I., Carver, K., Cunningham, W., Jones, J., Levie, C., Murphy, J., Ramdany, S., Speck, L., and Wright, P. (2021, September 09). Myocardial Infarction: Cardiac Rehabilitation and Prevention of Further Cardiovascular Disease (CG172). Available online: https:\/\/www.nice.org.uk\/guidance\/cg172."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2458","DOI":"10.1161\/CIR.0b013e318235eb4d","article-title":"AHA\/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: A guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association","volume":"124","author":"Smith","year":"2011","journal-title":"Circulation"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1093\/eurheartj\/ehw106","article-title":"2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR)","volume":"37","author":"Piepoli","year":"2016","journal-title":"Eur. Heart J."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"JCS Joint Working Group (2014). Guidelines for rehabilitation in patients with cardiovascular disease (JCS 2012). Circ. J., 78, 2022\u20132093.","DOI":"10.1253\/circj.CJ-66-0094"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"355","DOI":"10.5535\/arm.2019.43.3.355","article-title":"Clinical practice guideline for cardiac rehabilitation in Korea","volume":"43","author":"Kim","year":"2019","journal-title":"Ann. Rehabil. Med."},{"key":"ref_14","unstructured":"(2021, September 09). Cardiac Rehabilitation Referral Tools. Available online: https:\/\/sgrace.info.yorku.ca\/cardiac-rehabilitation-referral-tools\/."},{"key":"ref_15","unstructured":"(2021, September 09). Cardiac Rehabilitation Barriers Scales. Available online: https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215511410579."},{"key":"ref_16","unstructured":"International Council of Cardiovascular Prevention and Rehabilitation (2021, September 09). Global Survey of Cardiac Rehabilitation. Available online: https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(19)30099-9\/fulltext."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.eclinm.2019.06.006","article-title":"Cardiac rehabilitation availability and density around the globe","volume":"13","author":"Supervia","year":"2019","journal-title":"EClinicalMedicine"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.pcad.2013.12.001","article-title":"Current state of cardiac rehabilitation in Japan","volume":"56","author":"Goto","year":"2014","journal-title":"Prog. Cardiovasc. Dis."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e262","DOI":"10.3346\/jkms.2020.35.e262","article-title":"Underutilization of hospital-based cardiac rehabilitation after acute myocardial infarction in Korea","volume":"35","author":"Kim","year":"2020","journal-title":"J. Korean Med. Sci."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"489","DOI":"10.23736\/S1973-9087.20.06081-5","article-title":"Cardiac rehabilitation and 5-year mortality after acute myocardial infarction. Report from 11 tertiary hospitals in Korea (ETHIK Study)","volume":"56","author":"Kim","year":"2020","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"76","DOI":"10.12965\/jer.1732806.403","article-title":"Inpatient cardiac rehabilitation programs\u2019 exercise therapy for patients undergoing cardiac surgery: National Korean Questionnaire Survey","volume":"13","author":"Seo","year":"2017","journal-title":"J. Exerc. Rehabil."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5535\/arm.20080","article-title":"Do cardiac rehabilitation affect clinical prognoses such as recurrence, readmission, revascularization, and mortality after AMI? Systematic review and meta-analysis","volume":"45","author":"Kim","year":"2021","journal-title":"Ann. Rehabil. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"481","DOI":"10.5535\/arm.20084","article-title":"Community-based cardiac rehabilitation conducted in a public health center in South Korea: A preliminary study","volume":"44","author":"Baek","year":"2020","journal-title":"Ann. Rehabil. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.eclinm.2019.06.006","article-title":"Nature of cardiac rehabilitation around the globe","volume":"13","author":"Supervia","year":"2019","journal-title":"EClinicalMedicine"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Writing Committee Members, Thomas, R.J., King, M., Lui, K., Oldridge, N., Pi\u00f1a, I.L., and Spertus, J. (2010). AACVPR\/ACCF\/AHA 2010 update: Performance measures on cardiac rehabilitation for referral to cardiac rehabilitation\/secondary prevention services: A report of the American Association of Cardiovascular and Pulmonary Rehabilitation and the American College of Cardiology Foundation\/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Clinical Performance Measures for Cardiac Rehabilitation). Circulation, 122, 1342\u20131350.","DOI":"10.1161\/CIR.0b013e3181f5185b"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1814","DOI":"10.1016\/j.jacc.2018.01.004","article-title":"2018 ACC\/AHA Clinical performance and quality measures for cardiac rehabilitation: A report of the American College of Cardiology\/American Heart Association Task Force on Performance Measures (Developed in collaboration with the American Association of Cardiovascular and Pulmonary Rehabilitation)","volume":"71","author":"Thomas","year":"2018","journal-title":"J. Am. Coll. Cardiol. JACC"},{"key":"ref_27","first-page":"491","article-title":"Recommendations for establishing cardiac rehabilitation programs; Facility, equipment and staff: The Korean Society of Cardiac Rehabilitation (KSCR) position statement","volume":"34","author":"Kim","year":"2010","journal-title":"J. Korean Acad. Rehabil. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/HCR.0b013e3181a3333c","article-title":"Barriers to cardiac rehabilitation: Does age make a difference?","volume":"29","author":"Grace","year":"2009","journal-title":"J. Cardiopulm. Rehabil. Prev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"154","DOI":"10.5535\/arm.2018.42.1.154","article-title":"Barriers to outpatient hospital-based cardiac rehabilitation in Korean patients with acute coronary syndrome","volume":"42","author":"Im","year":"2018","journal-title":"Ann. Rehabil. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2951","DOI":"10.1161\/CIR.0b013e31823b21e2","article-title":"Referral, enrollment, and delivery of cardiac rehabilitation\/secondary prevention programs at clinical centers and beyond: A presidential advisory from the American Heart Association","volume":"124","author":"Balady","year":"2011","journal-title":"Circulation"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.mayocp.2016.10.014","article-title":"Increasing cardiac rehabilitation participation from 20% to 70%: A road map from the Million Hearts Cardiac Rehabilitation Collaborative","volume":"92","author":"Ades","year":"2017","journal-title":"Mayo Clin. Proc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"383","DOI":"10.4070\/kcj.2021.0001","article-title":"Implementation of national health policy for the prevention and control of cardiovascular disease in South Korea: Regional-local Cardio-Cerebrovascular Center and Nationwide Registry","volume":"51","author":"Wang","year":"2021","journal-title":"Korean Circ. J."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/HCR.0000000000000447","article-title":"Home-based cardiac rehabilitation: A scientific statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology","volume":"39","author":"Thomas","year":"2019","journal-title":"J. Cardiopulm. Rehabil. Prev."},{"key":"ref_34","first-page":"CD007130","article-title":"Home-based versus centre-based cardiac rehabilitation","volume":"18","author":"Taylor","year":"2015","journal-title":"Cochrane Database Syst. Rev."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/10\/21\/5079\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:23:03Z","timestamp":1760167383000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/10\/21\/5079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,29]]},"references-count":34,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2021,11]]}},"alternative-id":["jcm10215079"],"URL":"https:\/\/doi.org\/10.3390\/jcm10215079","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,29]]}}}