Key result
A theoretical framework for a pulmonary rehabilitation integrated service model is proposed to address gaps in UK healthcare policies and deliver personalized care to patients with COPD.
Why the study?
Barriers to pulmonary rehabilitation referral, uptake, and completion exist, amplified by COVID-19 challenges, and there is no clear consensus on an integrated care model pathway to address unmet needs and disparities in COPD.
Answers are grounded in this paper and cite their sources.
This review highlights gaps in UK healthcare policies regarding pulmonary rehabilitation and proposes an integrated service model for COPD management post-COVID-19.
Pulmonary rehabilitation (PR) is a cornerstone management for chronic obstructive pulmonary disease (COPD). International respiratory societies defined PR is more than "just an exercise program"; it is a comprehensive care delivered by a team of dedicated healthcare professionals with a strong emphasis on long-term health-enhancing Behaviors. However, "Uncertainty" exists with varied reasons for the political and geographical barriers of referral, uptake, attendance, and completion of PR in both primary and secondary care. Besides, COVID-19 pandemic has sparked many global controversies and challenges on pulmonary rehabilitation service delivery. Post-COVID-19 guidelines emphasize on integrated care rehabilitation for patients with COPD. Thus, this concise review intends to understand the gaps in United Kingdom healthcare policies, practices, and PR services resources. To date, there is no clear consensus on PR integrated care model pathway to address the unmet needs, measure the health and social care disparities; adds to the disease burden of COPD. Based on the culmination of evidence, this perspective offers a theoretical framework of PR integrated service model, a pathway to deliver high-value personalized care to patients with COPD.
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Shakila Devi Perumal (2021) conducted a review in Chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation integrated service model was evaluated. A theoretical framework for a pulmonary rehabilitation integrated service model is proposed to address gaps in UK healthcare policies and deliver personalized care to patients with COPD.
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