Table 4.
Patient’s Potential Care Journeys to Access PR
| Stages | Diagnosis | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Location | Home ——> GP Practice ——> Home | ||||||||||||||||||
| Activities | Make an Appointment with GP | Transport | Consult GP Appointment | Referred to Further Check | Checked by Nurse | Informed Diagnosis | Receive Self-Management Treatments | Decide to Take PR (If Offered) | |||||||||||
| Options | 1 | By telephone | Drive by oneself | N/a | Referred to practice nurse | N/a | By face-to-face | Medications (inhalers) | Not offered | ||||||||||
| 2 | Drop in | Driven by family/friends | Referred to secondary care | By call | Medications (emergency pack) | Offered but declined | |||||||||||||
| 3 | By others | On foot | … | By letter | Pulmonary Rehabilitation (PR) | Offered and accepted | |||||||||||||
| 4 | By Internet | By bus+ walking | … | … | Quit smoking | … | |||||||||||||
| 5 | … | … | … | … | … | … | |||||||||||||
| Stages | Review | Referral | |||||||||||||||||
| Location | Home——> GP Practice ——> Home | Home | |||||||||||||||||
| Activities | Receive Invitation to Review | Transport | Checked by Nurse | Discuss Care Plan | Make a Decision (PR) | Receive Inform for Referral | Make a Decision (PR) | ||||||||||||
| Options | 1 | By letter | Drive by oneself | N/a | Offered PR | Attend | By letter | Attend | |||||||||||
| 2 | By call | Driven by family/friends | Received updated medication | Not attend | By call | Not attend | |||||||||||||
| 3 | By message | On foot | … | … | … | … | |||||||||||||
| 4 | … | By bus+ walk | … | … | … | … | |||||||||||||
| 5 | … | … | … | … | … | … | |||||||||||||
| Stages | Assessment | PR | |||||||||||||||||
| Location | Home ——> Assessment avenue ——> Home | Home ——> PR class ——> Home | |||||||||||||||||
| Activities | Plan to Get to Car Parking of the Assessment | Plan to Get from Car Parking to Front Reception | Transport | Assessment Test | Make a Decision (PR) | Plan How to Get to PR Class and Go Back | Transport | Request for Transport Service | Continue to Attend PR | ||||||||||
| Options | 1 | By letter | By asking passerby | Drive+ walk | N/a | Attend | Ask family/friends | Drive + walk | Approved | Attend | |||||||||
| 2 | Ask friends | By calling reception | Family/friends drive | Not Attend | By memory | Transport service | Rejected | Quit | |||||||||||
| 3 | By internet | By following carer | Bus | … | By satellite navigate | Walk | … | … | |||||||||||
| 4 | By satellite navigate | … | Walk | … | … | Bus | … | … | |||||||||||
| 5 | … | … | … | … | … | … | … | … | |||||||||||