Healthcare organization and cardiorehabilitation: practical experience of the physical therapy and rehabilitation service.

Cardiovascular diseases remain one of the leading causes of mortality and temporary disability. The period of hospital treatment after an acute cardiac event determines the further trajectory of recovery, so the issues of early cardiac rehabilitation require a systematic analysis. In recent years, there has been an increasing focus on the role of physical therapy as a key component of a continuous rehabilitation pathway. However, the organization of early mobilization programs and rehabilitation activities in hospitals still demonstrates variability, making it an important task to summarize current approaches. The purpose of this study is to analyze the principles of building the hospital stage of cardiac rehabilitation and determine the role of physical therapy in the rehabilitation team. Materials and methods. The basic organizational models, the stages of rehabilitation measures, the principles of prescribing dosed physical activity, and the methods of assessing load tolerance are described. The issues of interdisciplinary collaboration, patient-centered planning, prevention of complications, and preparation for continued rehabilitation after discharge are considered. Results. Special attention is paid to the practical aspects of training specialists and the importance of standardizing protocols for initiating and expanding physical activity. Conclusions. Thus, the article examines the key elements that influence the success of hospital-based cardiac rehabilitation in public healthcare, and provides a comprehensive understanding of the logic of the physical therapy service within a multidisciplinary team. The article provides a meaningful foundation for further design of early rehabilitation programs and the selection of effective organizational solutions.