A systems approach to developing user requirements for increased pulmonary rehabilitation uptake by COPD patients.

IF 3.1 3区医学 Q1 PRIMARY HEALTH CARE

NPJ Primary Care Respiratory Medicine Pub Date : 2024-07-16 DOI:10.1038/s41533-024-00370-1

Frances Early, James Ward, Alexander Komashie, Timoleon Kipouros, John Clarkson, Jonathan Fuld

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Abstract

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.

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采用系统方法制定用户要求，以提高慢性阻塞性肺病患者的肺康复率。

慢性阻塞性肺病是一种进行性肺部疾病，与焦虑、抑郁和生活质量下降有关。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% 的转诊患者没有接受肺康复预约。这项研究旨在为一项干预措施制定用户需求，以提高肺康复治疗的使用率。研究采用了系统方法，即 "工程改善护理 "框架，绘制了公关路径系统图，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了用户需求。八项用户需求满足了患者和医护人员的需求，即了解公关的意义、了解公关的益处以及就公关进行积极对话，以解决患者的顾虑。与解决方案无关的用户需求可用于开发具有类似目标的任何干预措施。这项研究表明，采用系统方法应对呼吸内科面临的更多挑战具有潜力。

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来源期刊

NPJ Primary Care Respiratory Medicine PRIMARY HEALTH CARE-RESPIRATORY SYSTEM

CiteScore

5.50

自引率

6.50%

发文量

审稿时长

10 weeks

期刊介绍： npj Primary Care Respiratory Medicine is an open access, online-only, multidisciplinary journal dedicated to publishing high-quality research in all areas of the primary care management of respiratory and respiratory-related allergic diseases. Papers published by the journal represent important advances of significance to specialists within the fields of primary care and respiratory medicine. We are particularly interested in receiving papers in relation to the following aspects of respiratory medicine, respiratory-related allergic diseases and tobacco control: epidemiology prevention clinical care service delivery and organisation of healthcare (including implementation science) global health.