دورية أكاديمية
Interventions to increase referral and uptake to pulmonary rehabilitation in people with COPD: a systematic review
| العنوان: | Interventions to increase referral and uptake to pulmonary rehabilitation in people with COPD: a systematic review |
|---|---|
| المؤلفون: | Early,Frances, Wellwood,Ian, Kuhn,Isla, Deaton,Christi, Fuld,Jonathan |
| بيانات النشر: | Dove Press |
| سنة النشر: | 2018 |
| المجموعة: | Dove Medical Press |
| مصطلحات موضوعية: | International Journal of Chronic Obstructive Pulmonary Disease |
| الوصف: | Frances Early,1 Ian Wellwood,2 Isla Kuhn,3 Christi Deaton,2 Jonathan Fuld1 1Centre for Self-Management Support, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK; 2Clinical Nursing Research Group, Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK; 3Medical Library, University of Cambridge School of Clinical Medicine, Cambridge, UK Abstract: Pulmonary rehabilitation (PR) reduces the number and duration of hospital admissions and readmissions, and improves health-related quality of life in patients with COPD. Despite clinical guideline recommendations, under-referral and limited uptake to PR contribute to poor treatment access. We reviewed published literature on the effectiveness of interventions to improve referral to and uptake of PR in patients with COPD when compared to standard care, alternative interventions, or no intervention. The review followed recognized methods. Search terms included “pulmonary rehabilitation” AND “referral” OR “uptake” applied to MEDLINE, EMBASE, CINAHL, PsycINFO, ASSIA, BNI, Web of Science, and Cochrane Library up to January 2018. Titles, abstracts, and full papers were reviewed independently and quality appraised. The protocol was registered (PROSPERO # 2016:CRD42016043762). We screened 5,328 references. Fourteen papers met the inclusion criteria. Ten assessed referral and five assessed uptake (46,146 patients, 409 clinicians, 82 hospital departments, 122 general practices). One was a systematic review which assessed uptake. Designs, interventions, and scope of studies were diverse, often part of multifaceted evidence-based management of COPD. Examples included computer-based prompts at practice nurse review, patient information, clinician education, and financial incentives. Four studies reported statistically significant improvements in referral (range 3.5%–36%). Two studies reported statistically significant increases in uptake (range 18%–21.5%). Most studies had methodological and ... |
| نوع الوثيقة: | article in journal/newspaper review |
| وصف الملف: | text/html |
| اللغة: | English |
| العلاقة: | https://www.dovepress.com/interventions-to-increase-referral-and-uptake-to-pulmonary-rehabilitat-peer-reviewed-fulltext-article-COPDTest |
| الإتاحة: | https://doi.org/10.2147/COPD.S172239Test https://www.dovepress.com/interventions-to-increase-referral-and-uptake-to-pulmonary-rehabilitat-peer-reviewed-fulltext-article-COPDTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.29DD0369 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |