• Am. J. Respir. Crit. Care Med. · Dec 2015

    Practice Guideline

    An Official American Thoracic Society/European Respiratory Society Policy Statement: Enhancing Implementation, Use, and Delivery of Pulmonary Rehabilitation.

    • Carolyn L Rochester, Ioannis Vogiatzis, Anne E Holland, Suzanne C Lareau, Darcy D Marciniuk, Milo A Puhan, Martijn A Spruit, Sarah Masefield, Richard Casaburi, Enrico M Clini, Rebecca Crouch, Judith Garcia-Aymerich, Chris Garvey, Roger S Goldstein, Kylie Hill, Michael Morgan, Linda Nici, Fabio Pitta, Andrew L Ries, Sally J Singh, Thierry Troosters, Peter J Wijkstra, Barbara P Yawn, Richard L ZuWallack, and ATS/ERS Task Force on Policy in Pulmonary Rehabilitation.
    • Am. J. Respir. Crit. Care Med. 2015 Dec 1; 192 (11): 1373-86.

    RationalePulmonary rehabilitation (PR) has demonstrated physiological, symptom-reducing, psychosocial, and health economic benefits for patients with chronic respiratory diseases, yet it is underutilized worldwide. Insufficient funding, resources, and reimbursement; lack of healthcare professional, payer, and patient awareness and knowledge; and additional patient-related barriers all contribute to the gap between the knowledge of the science and benefits of PR and the actual delivery of PR services to suitable patients.ObjectivesThe objectives of this document are to enhance implementation, use, and delivery of pulmonary rehabilitation to suitable individuals worldwide.MethodsMembers of the American Thoracic Society (ATS) Pulmonary Rehabilitation Assembly and the European Respiratory Society (ERS) Rehabilitation and Chronic Care Group established a Task Force and writing committee to develop a policy statement on PR. The document was modified based on feedback from expert peer reviewers. After cycles of review and revisions, the statement was reviewed and formally approved by the Board of Directors of the ATS and the Science Council and Executive Committee of the ERS.Main ResultsThis document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs. It also recommends areas of future research to establish evidence to support the development of an updated funding and reimbursement policy regarding PR.ConclusionsThe ATS and ERS commit to undertake actions that will improve access to and delivery of PR services for suitable patients. They call on their members and other health professional societies, payers, patients, and patient advocacy groups to join in this commitment.

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