Authors (including presenting author) :
Lam SK (1), Chan WMM (2), Wong YCJ (3), Leung YYC (4), Ng WBG (5), Wong WK (6), Chu LL (7), Chan NY (1)
Affiliation :
(1) Department of Medicine & Geriatrics, Princess Margaret Hospital (2) Community Health Care, Kowloon West Cluster (3) Occupational Therapy Department, Princess Margaret Hospital (4) Physiotherapy Department, Princess Margaret Hospital (5) Dietetics Department, Kowloon West Cluster (6) Department of Medicine & Geriatrics, Yan Chai Hospital (7) Department of Medicine & Geriatrics, Caritas Medical Centre
Introduction :
Although cardiac rehabilitation (CR) with proven benefit and concrete evidence on improving patients’ quality of life. Hong Kong still lacks of a comprehensive CR service within clustered hospitals. With growing demand of CR service, Princess Margaret Hospital (PMH) CR team expanding service coverage to all eligible patients in Kowloon West Cluster (KWC) in October 2023, providing diversified CR service and boosting community rehabilitation by medical-social collaboration.
Objectives :
(1) To enhance cardiac rehabilitation service coverage for eligible patient in KWC (2) To provide an effective, alternative exercise-based rehabilitation to cardiac patient (3) To optimize health service utilization in community
Methodology :
A retrospective longitudinal study design was employed. Demographic and clinical data of patient enrolled to KWC cardiac rehabilitation program (CRP) between October 2023 to September 2024 were collected and analyzed. Outcome measures consist of enrollment data, mode of CR service delivered and utilization of community service.
Result & Outcome :
A total 706 patients were referred to KWC CRP. 337 eligible patients aged from 31-80 (258 males, 79 females) were invited to join CRP. In which, 219 (65%) patients from PMH, 50 (14.8%) patients from Yan Chai Hospital (YCH), 54 (16%) patients from Caritas Medical Centre (CMC) and 14 (4.2%) patients from Queen Elizabeth Hospital (QEH). Till analysis, 47 patients refused to join, 88 patients withdraw the program and finally 202 patients enrolled in which 193 (95.5%) patients joined Centre-based CRP and 9 (4.5%) patients joined Tele-based CRP. Travelling time and location were two main obstacles to join the Center-based CRP. Therefore, our team referring those low risk (Ejection fraction > 40%) eligible patient to community partners for early engagement of CRP. Total 189 patients referred to Community Rehabilitation Network (CRN) and 3 District Health Centre (Kwai Tsing, Tsuen Wan and Sham Shui Po). 85 patients enrolled to community-based CRP. In sum of the enrollment data, intake rate of CRP significantly increased from 5% to 20.97%.
