For a full list of the authors affiliations please see the Acknowledgements section.
Eur Respir J. 2014 May;43(5):1326-37. doi: 10.1183/09031936.00145613. Epub 2013 Dec 12.
The aim was to study the overall content and organisational aspects of pulmonary rehabilitation programmes from a global perspective in order to get an initial appraisal on the degree of heterogeneity worldwide. A 12-question survey on content and organisational aspects was completed by representatives of pulmonary rehabilitation programmes that had previously participated in the European Respiratory Society (ERS) COPD Audit. Moreover, all ERS members affiliated with the ERS Rehabilitation and Chronic Care and/or Physiotherapists Scientific Groups, all members of the American Association of Cardiovascular and Pulmonary Rehabilitation, and all American Thoracic Society Pulmonary Rehabilitation Assembly members were asked to complete the survey via multiple e-mailings. The survey has been completed by representatives of 430 centres from 40 countries. The findings demonstrate large differences among pulmonary rehabilitation programmes across continents for all aspects that were surveyed, including the setting, the case mix of individuals with a chronic respiratory disease, composition of the pulmonary rehabilitation team, completion rates, methods of referral and types of reimbursement. The current findings stress the importance of future development of processes and performance metrics to monitor pulmonary rehabilitation programmes, to be able to start international benchmarking, and to provide recommendations for international standards based on evidence and best practice.
目的在于从全球角度研究肺康复计划的整体内容和组织方面，以便初步评估全球的异质性程度。先前参加过欧洲呼吸学会（ERS）COPD 审核的肺康复计划的代表完成了一份关于内容和组织方面的 12 个问题的调查。此外，还要求所有与 ERS 康复和慢性护理以及/或物理治疗师科学组相关的 ERS 成员、美国心血管和肺康复协会的所有成员以及美国胸科学会肺康复协会的所有成员通过多次电子邮件完成调查。该调查已由来自 40 个国家的 430 个中心的代表完成。调查结果表明，在所有被调查的方面，包括环境、患有慢性呼吸道疾病的个体的病例组合、肺康复团队的组成、完成率、转诊方法和报销类型，各大陆的肺康复计划之间存在很大差异。目前的调查结果强调了未来开发流程和绩效指标以监测肺康复计划的重要性，以便能够开始国际基准测试，并根据证据和最佳实践为国际标准提供建议。
