TY - JOUR
T1 - An official American Thoracic Society/European Respiratory Society policy statement
T2 - Enhancing implementation, use, and delivery of pulmonary rehabilitation
AU - Rochester, Carolyn L.
AU - Vogiatzis, Ioannis
AU - Holland, Anne E.
AU - Lareau, Suzanne C.
AU - Marciniuk, Darcy D.
AU - Puhan, Milo A.
AU - Spruit, Martijn A.
AU - Masefield, Sarah
AU - Casaburi, Richard
AU - Clini, Enrico M.
AU - Crouch, Rebecca
AU - Garcia-Aymerich, Judith
AU - Garvey, Chris
AU - Goldstein, Roger S.
AU - Hill, Kylie
AU - Morgan, Michael
AU - Nici, Linda
AU - Pitta, Fabio
AU - Ries, Andrew L.
AU - Singh, Sally J.
AU - Troosters, Thierry
AU - Wijkstra, Peter J.
AU - Yawn, Barbara P.
AU - Richard, L. ZuWallack
AU - Powell, Pippa
AU - Stahlberg, Bjorn
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Rationale: Pulmonary rehabilitation (PR) has demonstrated physiological, symptom-reducing, psychosocial, and health economic benefits for patients with chronic respiratory diseases, yet it is underutilized worldwide. Insufficient funding, resources, and reimbursement; lack of healthcare professional, payer, and patient awareness and knowledge; and additional patient-related barriers all contribute to the gap betweentheknowledge of the science andbenefits of PR and the actual delivery of PR services to suitable patients. Objectives: The objectives of this document are to enhance implementation, use, and delivery of pulmonary rehabilitation to suitable individuals worldwide. Methods: Members of the American Thoracic Society (ATS) Pulmonary Rehabilitation Assembly and the European Respiratory Society (ERS) Rehabilitation and Chronic Care Group established a Task Force and writing committee to develop a policy statement on PR. The document was modified based on feedback from expert peer reviewers. After cycles of review and revisions, the statement was reviewed and formally approved by the Board of Directors of the ATS and the Science Council and Executive Committee of the ERS. Main Results: This document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs. It also recommends areas of future research to establish evidence to support the development of an updated funding and reimbursement policy regarding PR. Conclusions: TheATS and ERS commit to undertake actions thatwill improve access to and delivery of PR services for suitable patients. They call on their members and other health professional societies, payers, patients, and patient advocacy groups to join in this commitment.
AB - Rationale: Pulmonary rehabilitation (PR) has demonstrated physiological, symptom-reducing, psychosocial, and health economic benefits for patients with chronic respiratory diseases, yet it is underutilized worldwide. Insufficient funding, resources, and reimbursement; lack of healthcare professional, payer, and patient awareness and knowledge; and additional patient-related barriers all contribute to the gap betweentheknowledge of the science andbenefits of PR and the actual delivery of PR services to suitable patients. Objectives: The objectives of this document are to enhance implementation, use, and delivery of pulmonary rehabilitation to suitable individuals worldwide. Methods: Members of the American Thoracic Society (ATS) Pulmonary Rehabilitation Assembly and the European Respiratory Society (ERS) Rehabilitation and Chronic Care Group established a Task Force and writing committee to develop a policy statement on PR. The document was modified based on feedback from expert peer reviewers. After cycles of review and revisions, the statement was reviewed and formally approved by the Board of Directors of the ATS and the Science Council and Executive Committee of the ERS. Main Results: This document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs. It also recommends areas of future research to establish evidence to support the development of an updated funding and reimbursement policy regarding PR. Conclusions: TheATS and ERS commit to undertake actions thatwill improve access to and delivery of PR services for suitable patients. They call on their members and other health professional societies, payers, patients, and patient advocacy groups to join in this commitment.
KW - Access
KW - Chronic respiratory diseases
KW - Healthcare
KW - Policy
KW - Pulmonary rehabilitation
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U2 - 10.1164/rccm.201510-1966ST
DO - 10.1164/rccm.201510-1966ST
M3 - Article
C2 - 26623686
AN - SCOPUS:84948967244
SN - 1073-449X
VL - 192
SP - 1373
EP - 1386
JO - American Journal of Respiratory and Critical Care Medicine
JF - American Journal of Respiratory and Critical Care Medicine
IS - 11
ER -