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Factors affecting the offer of pulmonary rehabilitation to patients with chronic obstructive pulmonary disease by primary care professionals : a qualitative study

Harris, David, Hayter, Mark and Allender, Steven 2008, Factors affecting the offer of pulmonary rehabilitation to patients with chronic obstructive pulmonary disease by primary care professionals : a qualitative study, Primary health care research & development, vol. 9, no. 4, pp. 280-290.

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Title Factors affecting the offer of pulmonary rehabilitation to patients with chronic obstructive pulmonary disease by primary care professionals : a qualitative study
Author(s) Harris, David
Hayter, Mark
Allender, Steven
Journal name Primary health care research & development
Volume number 9
Issue number 4
Start page 280
End page 290
Publisher Cambridge University Press
Place of publication Cambridge, England
Publication date 2008-10
ISSN 1463-4236
1477-1128
Keyword(s) attitude of health personnel
chronic obstructive pulmonary disease
communication barriers
professional–patient relations
pulmonary disease
qualitative research
Summary Aim: To explore health professionals’ experiences of barriers and facilitators to referring patients for pulmonary rehabilitation in a primary care setting.

Background: Pulmonary rehabilitation involves a multidisciplinary teamwork approach to improving
the quality of life for people with chronic obstructive pulmonary disease. This study aimed to find out about health care professionals’ experiences when referring patients. Reports suggest that a health care professional’s attitude towards a treatment affects the willingness of patients to accept advice.

Methods: Five focus group interviews were undertaken with 21 health professionals from North Midlands, UK. Data were analysed using a thematic analysis drawing on the techniques of grounded theory.

Findings: Chronic disease management has been delegated to Practice Nurses in many cases leaving some nurses feeling unsupported and some General Practitioners feeling deskilled. Problems with communication, a lack of adequate and timely local service provision, a difficult referral process, time pressures and lack of information were barriers to health care professionals making an offer of pulmonary rehabilitation. An explanatory model is proposed to describe how addressing barriers to referral may improve health care professionals views about pulmonary rehabilitation and therefore may mean that they present it in a more positive manner.
Notes Reproduced with the kind permission of the copyright owner.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, Cambridge University Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30020477

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