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There’s no place like home: Integrating pulmonary rehabilitation into the home setting

Madalina Macrea, Richard ZuWallack, Linda Nici
  • Madalina Macrea
    -Salem Veterans Affairs Medical Center -University of Virginia, United States |
  • Richard ZuWallack
    - St. Francis Hospital and Medical Center - University of Connecticut, United States
  • Linda Nici
    - The Warren Alpert Medical School of Brown University - Providence VA Medical Center, United States


Traditional, outpatient pulmonary rehabilitation provided to stable COPD patients leads to significant improvements in dyspnea, exercise capacity and health related quality of life.  Also, when started during or shortly after a hospitalization for a COPD exacerbation, pulmonary rehabilitation improves these patient-centered outcomes and arguably reduces subsequent health care utilization and mortality.  Despite these benefits, the uptake of traditional pulmonary rehabilitation remains disappointingly poor.  Home-based pulmonary rehabilitation, a safe and effective alternative to traditional, center-based programs, can broaden access. While proven improvements in dyspnea, exercise capacity and health status justify implementation of home-based pulmonary rehabilitation, it would be helpful to know whether it can also decrease health care utilization and be cost-effective. 


Home pulmonary rehabilitation; chronic obstructive pulmonary disease; integrated medical care.

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Submitted: 2017-06-01 22:16:34
Published: 2017-07-18 14:30:02
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Copyright (c) 2017 Madalina Macrea, Richard ZuWallack, Linda Nici

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