Reference : How resources determine pulmonary rehabilitation programs : a survey among Belgian ch...
Scientific journals : Article
Human health sciences : Cardiovascular & respiratory systems
http://hdl.handle.net/2268/229244
How resources determine pulmonary rehabilitation programs : a survey among Belgian chest physicians
English
Janssens, Wim [> >]
Corhay, Jean-Louis mailto [Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques >]
Bogaerts, Peter [> >]
Derom, Eric [> >]
FRUSCH, Nicolas mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service de pneumologie - allergologie >]
NGUYEN DANG, Delphine mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service de pneumologie - allergologie >]
Kibanda, Jesabelle [> >]
Ruttens, David [> >]
Thyrion, Lisa [> >]
Troosters, Thierry [> >]
Marchand, Eric [> >]
24-Feb-2018
Chronic Respiratory Disease
1479972318767732
Yes (verified by ORBi)
International
1479-9723
1479-9731
England
[en] COPD ; Pulmonary rehabilitation ; chronic respiratory disease ; outcome ; resources
[en] Despite overwhelming evidence of its benefits, a widespread implementation of pulmonary rehabilitation (PR) is lacking and the landscape of multidisciplinary programs remains very scattered. The objective of this study is to assess how PR is organized in specialized care centres in Belgium and to identify which barriers may exist according to respiratory physicians. A telephone and online survey was developed by a Belgian expert panel and distributed among all active Belgian chest physicians ( n = 492). Data were obtained from 200 respondents (40%). Seventy-five percentage of the chest physicians had direct access to an ambulatory rehabilitation program in their hospital. Most of these programs are organized bi or triweekly for an average period of 3-6 months. Programs focus strongly on chronic obstructive pulmonary disease patients from secondary care, have a multidisciplinary approach and provide exercise capacity and quality of life measures as main outcomes. Yet large differences were observed in process and outcome indicators between the programs of centres with standard funding and those of specialized centres with a larger allocated budget. We conclude that multidisciplinary PR programs are available in the majority of Belgian hospitals. Differences in funding determine the quality of the team, the diversity of the interventions and the monitoring of outcomes. More resources for rehabilitation will directly improve the utilization and quality of this essential treatment option in respiratory diseases.
http://hdl.handle.net/2268/229244
10.1177/1479972318767732
http://journals.sagepub.com/doi/abs/10.1177/1479972318767732?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed&

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