Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Department of Engineering, University of Cambridge, Cambridge, UK.
NPJ Prim Care Respir Med. 2024 Jul 16;34(1):20. doi: 10.1038/s41533-024-00370-1.
Chronic Obstructive Pulmonary Disease is a progressive lung disease associated with anxiety, depression, and reduced health-related quality of life. Pulmonary rehabilitation (PR) is a cost-effective and transformative treatment, but 31% of referred patients do not take up their PR appointment. The study aimed to develop user requirements for an intervention to increase PR uptake. A systems approach, the Engineering Better Care framework, was used to develop a system map of the PR pathway, translate evidence-based user needs into user requirements, and validate the user requirements in a stakeholder workshop. Eight user requirements addressed patient and health care practitioner needs to understand what PR entails, understand the benefits of PR and have positive conversations about PR to address patient concerns. The solution-independent user requirements can be applied to the development of any intervention sharing similar goals. The study demonstrates potential in taking a systems approach to more challenges within respiratory medicine.
慢性阻塞性肺疾病是一种与焦虑、抑郁和降低健康相关生活质量相关的进行性肺部疾病。肺康复（PR）是一种具有成本效益和变革性的治疗方法，但有 31%的转诊患者未接受 PR 预约。本研究旨在为提高 PR 参与度的干预措施制定用户需求。采用系统方法，即更好地护理工程框架，制定 PR 途径的系统图，将基于证据的用户需求转化为用户需求，并在利益相关者研讨会上验证用户需求。八项用户需求解决了患者和医疗保健从业者的需求，以了解 PR 包含的内容、了解 PR 的益处，并就 PR 进行积极的对话，以解决患者的担忧。独立于解决方案的用户需求可应用于开发具有相似目标的任何干预措施。该研究表明，在呼吸系统医学领域，采用系统方法解决更多挑战具有潜力。
