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- Title
Counterpoint: In-Home Pulmonary Rehabilitation Is an Attractive Alternative.
- Authors
Bhatt, Surya P.
- Abstract
Center-based pulmonary rehabilitation is positioned as the accepted standard for pulmonary rehabilitation. There, however, are several barriers to its utilization, and usage rates remain as low as 4%, despite decades of trying to improve access. The question then arises as to who is really benefiting from center-based pulmonary rehabilitation as this therapy is barely available to eligible patients. Alternative modes of delivery of pulmonary rehabilitation have been tested. Meta-analyses indicate that these alternate modes are associated with clinical improvements comparable with center-based pulmonary rehabilitation in several outcomes that are important for patients, including the 6-min walk distance, dyspnea, and quality of life. These modes are also associated with better adherence to the intervention than center-based pulmonary rehabilitation. Telehealth pulmonary rehabilitation and home-based pulmonary rehabilitation, therefore, are attractive alternatives to center-based pulmonary rehabilitation and will exponentially increase pulmonary rehabilitation capacity.
- Subjects
HOME care services; HEALTH services accessibility; SELF-efficacy; TRAVEL; RESISTANCE training; BREATHING exercises; TELEMEDICINE; LUNG diseases; MEDICAL rehabilitation; AEROBIC exercises; QUALITY of life; OBSTRUCTIVE lung diseases; VIDEOCONFERENCING; DYSPNEA; NUTRITION
- Publication
Respiratory Care, 2024, Vol 69, Issue 6, p763
- ISSN
0020-1324
- Publication type
Article
- DOI
10.4187/respcare.11957