Rehabilitation of Discharged Patients With Chronic Obstructive Pulmonary Disease—Are New Strategies Needed?:

Health Services Research & Managerial Epidemiology

LarsMorsø¹ 

关键词: rehabilitation;    COPD;    referral rates;    readmission;    patient satisfaction;   

DOI  :  10.1177/2333392816687704

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Rehabilitation after hospital stay implies several benefits for patients with chronic obstructive pulmonary disease (COPD); still few patients are referred and participate in rehabilitation programs. We conducted a case study to investigate the effects of interventions targeting the referral, uptake, and completion for a program of early rehabilitation in the primary health-care sector.Methods:We undertook targeted initiatives to make patients participate in an individualized rehabilitation program with gradual increased intensity. After discharge, primary care COPD nurses and physiotherapists guided patients through progressing exercises in small groups online. Patients proceeded to class-based exercises, patient education and/or leisure activities, or continued telerehabilitation. We evaluated the effects of the intervention by assessing referral rates, completion, and readmission.Results:Sixteen (23% of discharged patients) patients were referred to rehabilitation. In comparison, only 1 (0.8...

【 授权许可】

CC BY