Barriers and Challenges of Implementing Pulmonary Rehabilitation in Malaysia: Stakeholders’ Perspectives

Soo Chin Chan, Jaspreet Kaur Sekhon, Julia Patrick Engkasan, Jayakayatri Jeevajothi Nathan, Fatim Tahirah Mirza Mohd Tahir , Su May Liew, Norita Hussein, Anwar Suhaimi, Nik Sherina Nik Hanafi, Yong-Kek Pang, Saari Mohamad Yatim, Tracy Jackson, Genevie Fernandes, Monsur Habib, Hilary Pinnock, Ee Ming Khoo

Research output: Contribution to journalArticlepeer-review

Abstract

Chronic respiratory diseases (CRDs) are a growing problem in low- and middle-income countries (LMICs) where mortality and morbidity rates are rising. Established health benefits of pulmonary rehabilitation (PR) for patients with CRD includes improvement in functional exercise capacity, symptom scores, and quality of life along with reduced hospital stays and costs warranting increased efforts to promote implementation. Stakeholder engagement in research has been recognised as an important component in implementing research findings to achieve better patient care, health innovation and policy reform. With limited stakeholder engagement activities being carried out in Malaysia, this stakeholder event aimed to engage health care professionals' views on the barriers to implementation of PR in Malaysian healthcare settings. The barriers and challenges to PR implementation identified included poor knowledge of PR amongst providers, lack of financial and human resources, absence of clear guidelines and referral pathways as well as patient barriers to participating in PR. These key stakeholder perspectives have informed us about the implementation research gaps in Malaysia, allowing us to explore possible solutions in future research planning and execution of PR implementation for patients with CRDs
Original languageEnglish
JournalJournal of Global Health
Early online date30 Oct 2021
DOIs
Publication statusE-pub ahead of print - 30 Oct 2021

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