A primary care medical home approach to pulmonary rehabilitation

被引：1
作者：
Yurchak, Sheena [1 ,4 ]
Rawlinson, Amy [1 ]
Schaub, Jessica [1 ]
Shpilkerman, Yana Ilin [2 ]
Makarowski, Colleen [1 ]
Goddard, Kirsten [1 ]
Bhutani, Mohit [3 ]
Comeau, Ann-Carol [1 ]
机构：
[1] Edmonton Southside Primary Care Network, Edmonton, AB, Canada
[2] Alberta Hlth Serv, Hlth Syst Evaluat & Evidence, Edmonton, AB, Canada
[3] Univ Alberta, Dept Med, Div Pulm Med, Edmonton, AB, Canada
[4] 3110 Calgary Trail, Edmonton, AB T6J 6V4, Canada
来源：
CANADIAN JOURNAL OF RESPIRATORY THERAPY | 2021年 / 57卷 / 01期
关键词：
self-management; lung diseases; community care; patient care team; program evaluation; COPD ASSESSMENT TEST; GEORGES RESPIRATORY QUESTIONNAIRE; QUALITY-OF-LIFE; IMPORTANT DIFFERENCE; SOCIETY STATEMENT; HEART-FAILURE; HEALTH; VALIDATION; IMPROVE; ASTHMA;
D O I：
10.29390/cjrt-2021-040
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Background: Pulmonary rehabilitation (PR) is an evidence-based, nonpharmacological intervention aimed to improve quality of life for patients living with Chronic Obstructive Pulmonary Disease (COPD). Unfortunately, in Canada, most PR programs are hospital based and these are few in number; therefore, accessibility to PR programs is limited.Methods: The Edmonton Southside Primary Care Network implemented an evidence-based PR program within the setting of the patient's medical home.Results: Post-program evaluation demonstrated improvement in 6-minute walk distance, lower body strength, COPD health status, and quality of life, as well as a reduction in emergency department visits 1 year after program completion.Conclusion: The results conclude that delivery of a PR program in a primary care setting is effective and can help address the issue of accessibility.
引用
收藏
页码：161 / 166
页数：6
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共 40 条
  • [21] Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L)
    Herdman, M.
    Gudex, C.
    Lloyd, A.
    Janssen, M. F.
    Kind, P.
    Parkin, D.
    Bonsel, G.
    Badia, X.
    [J]. QUALITY OF LIFE RESEARCH, 2011, 20 (10) : 1727 - 1736
  • [22] Updating the Minimal Important Difference for Six-Minute Walk Distance in Patients With Chronic Obstructive Pulmonary Disease
    Holland, Anne E.
    Hill, Catherine J.
    Rasekaba, Tshepo
    Lee, Annemarie
    Naughton, Matthew T.
    McDonald, Christine F.
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2010, 91 (02): : 221 - 225
  • [23] Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review
    Ishigaki, Erika Y.
    Ramos, Lidiane G.
    Carvalho, Elisa S.
    Lunardi, Adriana C.
    [J]. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, 2014, 18 (02) : 111 - 118
  • [24] Comparison of COPD Assessment Test and Clinical COPD Questionnaire to predict the risk of exacerbation
    Jo, Yong Suk
    Yoon, Ho Il
    Kim, Deog Kyeom
    Yoo, Chul-Gyu
    Lee, Chang-Hoon
    [J]. INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2018, 13 : 101 - 107
  • [25] Health-related quality of life in patients by COPD severity within primary care in Europe
    Jones, P. W.
    Brusselle, G.
    Dal Negro, R. W.
    Ferrer, M.
    Kardos, P.
    Levy, M. L.
    Perez, T.
    Soler-Cataluna, J. J.
    van der Molen, T.
    Adamek, L.
    Banik, N.
    [J]. RESPIRATORY MEDICINE, 2011, 105 (01) : 57 - 66
  • [26] Interpreting thresholds for a clinically significant change in health status in asthma and COPD
    Jones, PW
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2002, 19 (03) : 398 - 404
  • [27] Minimum clinically important difference for the COPD Assessment Test: a prospective analysis
    Kon, Samantha S. C.
    Canavan, Jane L.
    Jones, Sarah E.
    Nolan, Claire M.
    Clark, Amy L.
    Dickson, Mandy J.
    Haselden, Brigitte M.
    Polkey, Michael I.
    Man, William D-C
    [J]. LANCET RESPIRATORY MEDICINE, 2014, 2 (03) : 195 - 203
  • [28] The COPD assessment test (CAT) assists prediction of COPD exacerbations in high-risk patients
    Lee, Sang-Do
    Huang, Ming-Shyan
    Kang, Jian
    Lin, Ching-Hsiung
    Park, Myung Jae
    Oh, Yeon-Mok
    Kwon, Nannhee
    Jones, Paul W.
    Sajkov, Dimitar
    [J]. RESPIRATORY MEDICINE, 2014, 108 (04) : 600 - 608
  • [29] Optimizing pulmonary rehabilitation in chronic obstructive pulmonary disease - practical issues: A Canadian Thoracic Society Clinical Practice Guideline
    Marciniuk, Darcy D.
    Brooks, Dina
    Butcher, Scott
    Debigare, Richard
    Dechman, Gail
    Ford, Gordon
    Pepin, Veronique
    Reid, Darlene
    Sheel, Andrew W.
    Stickland, Micheal K.
    Todd, David C.
    Walker, Shannon L.
    Aaron, Shawn D.
    Balter, Meyer
    Bourbeau, Jean
    Hernandez, Paul
    Maltais, Francois
    O'Donnell, Denis E.
    Bleakney, Donna
    Carlin, Brian
    Goldstein, Roger
    Muthuri, Stella K.
    [J]. CANADIAN RESPIRATORY JOURNAL, 2010, 17 (04) : 159 - 168
  • [30] Instrument-Defined Estimates of the Minimally Important Difference for EQ-5D-5L Index Scores
    McClure, Nathan S.
    Al Sayah, Fatima
    Xie, Feng
    Luo, Nan
    Johnson, Jeffrey A.
    [J]. VALUE IN HEALTH, 2017, 20 (04) : 644 - 650
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