Disincentives of PR
There are many things that hold COPD patients back from attending PR even though it has been shown to greatly benefit the patients. The number of COPD patients who attend a PR program can be lower than 50% of a given COPD population near a PR, and some additional 23-31% of patients never complete the PR program once started (Hayton, Clark, Olive, Browne, & Galey, 2013). Explaining the difficulties of rural healthcare access Holland, Mahl, Lee & Burge (2016) state:
Despite compelling evidence for its benefits, pulmonary rehabilitation is delivered to fewer than 10% of the people with COPD who would benefit. Access is particularly challenging in rural settings, where COPD is often prevalent and programmes may …show more content…
Several common themes of non-attendance of PR have been established with qualitive research studies. The several familiar themes are: extended travel and transportation, lack of perceived benefit from PR, lack of knowledge of PR, and current smokers were a consistent predictor of non-completion. Other factors were disruption to patient’s usual routine, depression, and the timing of the referral from the physician was important (Keating et al., 2011).
COPD patients’ travel time and transportation barriers were found to be consistent issues when predictors of non-attendance were evaluated. Hayton et al. (2013) stated “Patients who complained of transport problems lived further away (13.5 miles) and had longer to travel (26 minutes), then the average (9.6 miles) and (19.9 minutes)” (p. 403). Keating et al. (2011) found that COPD patients that lived more than 36 miles from the PR program had poor attendance than people living less than six miles away, with addition of lower attendance for people that had to travel more than 30 minutes to the PR …show more content…
Patients being approached about PR may claim it was bad timing or delivery, some even state they do not remember being offered the service (Mather et al. 2017). How much the physicians themselves value PR can affect how the patient receives the treatment message and also how much the patients will feel this could positively change their lives (Keating et al., 2011). Facilities have a patient evaluation in the Emergency Department (ED) and in-house before discharge helping to encourage and qualify patients for PR programs (Shah et al.,
There are many things that hold COPD patients back from attending PR even though it has been shown to greatly benefit the patients. The number of COPD patients who attend a PR program can be lower than 50% of a given COPD population near a PR, and some additional 23-31% of patients never complete the PR program once started (Hayton, Clark, Olive, Browne, & Galey, 2013). Explaining the difficulties of rural healthcare access Holland, Mahl, Lee & Burge (2016) state:
Despite compelling evidence for its benefits, pulmonary rehabilitation is delivered to fewer than 10% of the people with COPD who would benefit. Access is particularly challenging in rural settings, where COPD is often prevalent and programmes may …show more content…
Several common themes of non-attendance of PR have been established with qualitive research studies. The several familiar themes are: extended travel and transportation, lack of perceived benefit from PR, lack of knowledge of PR, and current smokers were a consistent predictor of non-completion. Other factors were disruption to patient’s usual routine, depression, and the timing of the referral from the physician was important (Keating et al., 2011).
COPD patients’ travel time and transportation barriers were found to be consistent issues when predictors of non-attendance were evaluated. Hayton et al. (2013) stated “Patients who complained of transport problems lived further away (13.5 miles) and had longer to travel (26 minutes), then the average (9.6 miles) and (19.9 minutes)” (p. 403). Keating et al. (2011) found that COPD patients that lived more than 36 miles from the PR program had poor attendance than people living less than six miles away, with addition of lower attendance for people that had to travel more than 30 minutes to the PR …show more content…
Patients being approached about PR may claim it was bad timing or delivery, some even state they do not remember being offered the service (Mather et al. 2017). How much the physicians themselves value PR can affect how the patient receives the treatment message and also how much the patients will feel this could positively change their lives (Keating et al., 2011). Facilities have a patient evaluation in the Emergency Department (ED) and in-house before discharge helping to encourage and qualify patients for PR programs (Shah et al.,