“医疗保险计划”的新规定将偿付范围扩大到心脏泵血功能减弱到某个水平,在进行了至少六周最佳药物治疗后仍出现某些心力衰竭症状的患者。它提供一个包含36次康复训练的疗程,最长可持续36周,但每周两到三次训练的疗程最佳。患者可申请报销第二个康复疗程的费用,但一般说来在完成第一个疗程后他们得自己掏腰包。
The new decision affects about 50% of patients with chronic heart failure. Medicare officials said more data are need to determine whether cardiac rehab will benefit the others, who have a different form of the condition.
新规定影响了50%左右的心力衰竭患者。“医疗保险计划”官员称,其余的患者病症不同,要确定心脏康复是否有利于这些患者,还需研究更多数据。
Doctors expect the trigger for coverage for many patients will be their first hospital admission for heart failure. At that time, doctors would discuss starting an exercise program with a patient after six weeks on medications.
医生预计,许多患者因心力衰竭第一次住院治疗时,就有可能纳入康复报销计划。在那时,医生会在六周的药物治疗后与患者讨论开始锻炼计划。
The first episode 'is your teachable moment,' said Mariell Jessup, a heart failure doctor at University of Pennsylvania and president of the American Heart Association. Upon hearing the diagnosis, people think it is a death sentence. 'We say, 'you're not going to die. We're going to work on you living.'
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