Levack William M M, Weatherall Mark, Reeve Julie C, Mans Christina, Mauro Antonia
Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago (Wellington), PO Box 7343, Wellington 6242, New Zealand.
N Z Med J. 2012 Jan 20;125(1348):23-33.
To estimate of uptake of pulmonary rehabilitation (PR) by people with chronic obstructive pulmonary disease (COPD) in New Zealand in 2009.
A postal survey sent to all District Health Boards (DHBs), Primary Health Organisations (PHOs), and other non-government organisations (NGOs) identified as providers of PR. The survey requested information on the characteristics of PR programmes, estimates of the total number of people with COPD who were offered PR, entered PR, and completed PR in 2009.
In 2009 PR was provided in 19 of 21 DHB regions by 23 organisations (16 DHBs, five PHOs, one DHB/PHO partnership, and 1 NGO). Twenty-one of these 23 organisations (91%) responded to the survey. In total, 2569 people with COPD were offered PR, 1786 entered PR, and 1378 completed a PR programme in 2009.
There is a marked shortfall between the national levels of provision of PR and the prevalence of COPD, with less than 1% of people with COPD participating in PR each year in New Zealand. Incentives, leadership and coordination of services are required at a national level to increase the uptake of PR.
评估2009年新西兰慢性阻塞性肺疾病（COPD）患者接受肺康复（PR）治疗的情况。
向所有被确认为PR服务提供者的地区卫生委员会（DHBs）、初级卫生保健组织（PHOs）及其他非政府组织（NGOs）发送邮政调查问卷。该调查要求提供有关PR项目特征的信息，以及2009年接受PR治疗、开始PR治疗和完成PR治疗的COPD患者总数的估计数据。
2009年，23个组织（16个DHBs、5个PHOs、1个DHB/PHO合作组织和1个NGO）在21个DHB地区中的19个地区提供了PR服务。这23个组织中有21个（91%）回复了调查。2009年，共有2569名COPD患者接受了PR治疗，1786名开始接受PR治疗，1378名完成了PR项目。
新西兰PR服务的全国提供水平与COPD患病率之间存在明显差距，每年参与PR治疗的COPD患者不到1%。需要在国家层面采取激励措施、发挥领导作用并进行服务协调，以提高PR治疗的接受率。
