Open AccessIntegrating Home-Based Exercise Training with a Hospital at Home Service for Patients Hospitalised with Acute Exacerbations of COPD: Developing the Model Using Accelerated Experience-Based Co-Design
Author(s) -
Ruth E Barker,
Lisa Jane Brighton,
Matthew Maddocks,
Claire M. Nolan,
Suhani Patel,
Jessica A. Walsh,
Oliver Polgar,
Jenni Wenneberg,
Samantha S.C. Kon,
Jadwiga A. Wedzicha,
William D.C. Man,
Morag Farquhar
Publication year - 2021
Publication title -
international journal of chronic obstructive pulmonary disease/international journal of copd
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.394
H-Index - 67
eISSN - 1178-2005
pISSN - 1176-9106
DOI - 10.2147/copd.s293048
Subject(s) - medicine , referral , nursing , health care , service (business) , stakeholder , medical emergency , public relations , political science , economics , economic growth , economy
Hospital at home (HaH) schemes allow early discharge of patients hospitalised with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Traditional outpatient pulmonary rehabilitation (PR) following an AECOPD has an established evidence-base, but there are issues with low referral, uptake and completion. One commonly cited barrier to PR post-hospitalisation relates to poor accessibility. To address this, the aim of this project was to enrol service users (patients with COPD and informal carers) and healthcare professionals to co-design a model of care that integrates home-based exercise training within a HaH scheme for patients discharged from hospital following AECOPD.