Canadian Journal of Respiratory Therapy (Dec 2021)

A primary care medical home approach to pulmonary rehabilitation

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

Journal volume & issue
Vol. 57

Abstract

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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.