Comprehensive Care after Myocardial Infarction (CCMI): Long-Term Investment in the Health of Polish Citizens

Grzegorz Kubielas, Paulina Hydzik and Łukasz Rypicz
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Grzegorz Kubielas: Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wrocław, Poland
Paulina Hydzik: Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wrocław, Poland
Łukasz Rypicz: Department of Population Health, Faculty of Health Sciences, Wroclaw Medical University, 50-372 Wrocław, Poland

IJERPH, 2022, vol. 19, issue 12, 1-14

Abstract: The comprehensive care model after myocardial infarction (CCMI, in Polish: KOS-Zawał) has been in effect continuously since October 2017. Within the bundle of services financed by the Polish National Health Fund (NHF), patients receive a diagnosis, conservative and invasive treatment, early cardiac rehabilitation and follow-up visits for 12 months. The existing model of managing patients after myocardial infarction (MI) implements all crucial aspects of care recommended by the European Society of Cardiology (ESC), emphasised many times. The purpose of this paper was to report and describe the course of the implementation of the unique concept—CCMI model, including the scope of the introduced changes and the implementation and structural evaluation of its effects over the period 2017–2021. Our preliminary study reported that the CCMI programme reduces the risk of patient death in the first year after MI by 29%. Furthermore, the authors point out the strict cause and effect relationship between the cardiovascular disease prevention programme since 2004 as the key instrument for the primary systemic prevention implemented outside the CCMI model.

Keywords: comprehensive cardiac care; myocardial infarction; CCMI model; cardiac rehabilitation; secondary prevention; cardiovascular disease prevention (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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