How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study
Objective To examine the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation (PR) programmes for people with chronic obstructive pulmonary disease (COPD) in primary healthcare in Norway. Design This was a cross-sectional survey study examinin...
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crjcrbmj:10.1136/bmjopen-2021-053503 2024-04-28T08:32:29+00:00 How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study Frisk, Bente Sundør, Ingrid Elise Dønåsen, Mette Ramstad Refvem, Olav Kåre Borge, Christine Råheim EkstraStiftelsen Helse og Rehabilitering 2022 http://dx.doi.org/10.1136/bmjopen-2021-053503 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2021-053503 en eng BMJ http://creativecommons.org/licenses/by-nc/4.0/ BMJ Open volume 12, issue 2, page e053503 ISSN 2044-6055 2044-6055 General Medicine journal-article 2022 crjcrbmj https://doi.org/10.1136/bmjopen-2021-053503 2024-04-09T07:50:44Z Objective To examine the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation (PR) programmes for people with chronic obstructive pulmonary disease (COPD) in primary healthcare in Norway. Design This was a cross-sectional survey study examining the content, organisational settings and availability of comprehensive multidisciplinary PR for people with COPD. Setting and participants When the survey was conducted, Norway had 436 municipalities/primary healthcare services who were invited to participate. Outcome measures The main outcome was the question related to accessibility to a PR programme in primary healthcare. We also examined in what degree the single interventions which are a part of a PR programme were one of the municipalities services and if there were regional differences regarding PR. Results Of the 436 municipalities, 158 answered the survey (36% response rate), and the survey covered for 45% of the total population in Norway. Five per cent of the responders reported having multidisciplinary PR for patients with COPD. The most frequently reported single interventions that can be a part of a multidisciplinary PR programme were reported as follows: group exercise training for all diagnoses (27%), reablement (25%) and home-care treatment by a physiotherapist and/or occupational therapist (24%). Southern-Eastern Norway had a significantly lower number of these interventions than Western Norway, Central Norway, and Northern Norway (p<0.001). Conclusion Only 5% of the Norwegian primary healthcare services (municipalities) had a multidisciplinary PR programme for patients with COPD. PR is the most important and cost-effective treatment within integrated care of patients with COPD. National strategies are therefore needed to increase the availability of PR for patients with COPD in Norwegian municipalities. Article in Journal/Newspaper Northern Norway The BMJ BMJ Open 12 2 e053503 |
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General Medicine Frisk, Bente Sundør, Ingrid Elise Dønåsen, Mette Ramstad Refvem, Olav Kåre Borge, Christine Råheim How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study |
topic_facet |
General Medicine |
description |
Objective To examine the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation (PR) programmes for people with chronic obstructive pulmonary disease (COPD) in primary healthcare in Norway. Design This was a cross-sectional survey study examining the content, organisational settings and availability of comprehensive multidisciplinary PR for people with COPD. Setting and participants When the survey was conducted, Norway had 436 municipalities/primary healthcare services who were invited to participate. Outcome measures The main outcome was the question related to accessibility to a PR programme in primary healthcare. We also examined in what degree the single interventions which are a part of a PR programme were one of the municipalities services and if there were regional differences regarding PR. Results Of the 436 municipalities, 158 answered the survey (36% response rate), and the survey covered for 45% of the total population in Norway. Five per cent of the responders reported having multidisciplinary PR for patients with COPD. The most frequently reported single interventions that can be a part of a multidisciplinary PR programme were reported as follows: group exercise training for all diagnoses (27%), reablement (25%) and home-care treatment by a physiotherapist and/or occupational therapist (24%). Southern-Eastern Norway had a significantly lower number of these interventions than Western Norway, Central Norway, and Northern Norway (p<0.001). Conclusion Only 5% of the Norwegian primary healthcare services (municipalities) had a multidisciplinary PR programme for patients with COPD. PR is the most important and cost-effective treatment within integrated care of patients with COPD. National strategies are therefore needed to increase the availability of PR for patients with COPD in Norwegian municipalities. |
author2 |
EkstraStiftelsen Helse og Rehabilitering |
format |
Article in Journal/Newspaper |
author |
Frisk, Bente Sundør, Ingrid Elise Dønåsen, Mette Ramstad Refvem, Olav Kåre Borge, Christine Råheim |
author_facet |
Frisk, Bente Sundør, Ingrid Elise Dønåsen, Mette Ramstad Refvem, Olav Kåre Borge, Christine Råheim |
author_sort |
Frisk, Bente |
title |
How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study |
title_short |
How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study |
title_full |
How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study |
title_fullStr |
How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study |
title_full_unstemmed |
How is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with COPD in primary healthcare in Norway: a cross-sectional study |
title_sort |
how is the organisational settings, content and availability of comprehensive multidisciplinary pulmonary rehabilitation for people with copd in primary healthcare in norway: a cross-sectional study |
publisher |
BMJ |
publishDate |
2022 |
url |
http://dx.doi.org/10.1136/bmjopen-2021-053503 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2021-053503 |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
BMJ Open volume 12, issue 2, page e053503 ISSN 2044-6055 2044-6055 |
op_rights |
http://creativecommons.org/licenses/by-nc/4.0/ |
op_doi |
https://doi.org/10.1136/bmjopen-2021-053503 |
container_title |
BMJ Open |
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12 |
container_issue |
2 |
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e053503 |
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