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Can J Respir Ther. 2021 Dec 23;57:161-166. doi: 10.29390/cjrt-2021-040. eCollection 2021.

A primary care medical home approach to pulmonary rehabilitation.

Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR

Sheena Yurchak, Amy Rawlinson, Jessica Schaub, Yana Ilin Shpilkerman, Colleen Makarowski, Kirsten Goddard, Mohit Bhutani, Ann-Carol Comeau

Affiliations

  1. Edmonton Southside Primary Care Network, Edmonton, AB.
  2. Health Systems Evaluation & Evidence, Alberta Health Services, Edmonton, AB.
  3. Division of Pulmonary Medicine, Department of Medicine, University of Alberta, Edmonton, AB.

PMID: 34963884 PMCID: PMC8698156 DOI: 10.29390/cjrt-2021-040

Abstract

BACKGROUND: Pulmonary rehabilitation (PR) is an evidence-based, nonpharmacological intervention aimed to improve quality of life for patients living with Chronic Obstructive Pulmonary Disease (COPD). Unfortunately, in Canada, most PR programs are hospital based and these are few in number; therefore, accessibility to PR programs is limited.

METHODS: The Edmonton Southside Primary Care Network implemented an evidence-based PR program within the setting of the patient's medical home.

RESULTS: Post-program evaluation demonstrated improvement in 6-minute walk distance, lower body strength, COPD health status, and quality of life, as well as a reduction in emergency department visits 1 year after program completion.

CONCLUSION: The results conclude that delivery of a PR program in a primary care setting is effective and can help address the issue of accessibility.

Keywords: community care; lung diseases; patient care team; program evaluation; self-management

Conflict of interest statement

All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: no financial relationships with any organizations that might have an interest in the submi

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