Table 11.

The Main Challenges for HCPs to Engage Patients Access PR

1. Information
Challenges Delay referring patients due to lack of patients’ contact information No leaflets available to offer to patients No up-to-date information for patients No up-to-date information about referral, eg, referral form	Interpretation i–iv: The efficiency of HCPs in obtaining information including patients’ information and treatment information affects how well they engage patients in attending PR.
2. Communication with Patients
Challenges Referrals are not done face-to-face by physios (some situations) No enough time to understand where patients are	Interpretation i–ii: Face-to-face communication is vital to persuade patients to take up and attend PR.
3. HCPs’ Professional Knowledge
Challenges Wrong diagnosis between asthma and COPD The skills for selling PR	Interpretation i: HCPs’ knowledge about distinguishing similar conditions. ii: The skills of HCPs to encourage patients to attend PR.
4. Others
Challenges Long waiting list causes patients to lose their initiative to attend PR Patients influence others’ attendance	Interpretation i: It is challenging to keep patients motivated to attend PR. ii: Patient’s attendance is affected by other participants.