Table 12.

Initial Recommendations for Improving Patients Access to PR Services

Stage	Recommendations
COPD Diagnosis	Reassure patients by offering them proper information to understand COPD conditions. (Thinking) Offer multiple treatment options to patients to make them feel supported, in particular, advertising PR to patients.
Regular review	Remind patients to have their regular reviews for COPD. (Thinking) Provide patients with information and support after review if needed.
Referral to PR	Offer patients PR and provide contact information to patients for them to self-check. (Thinking) Send invitation for PR to patients in a timely manner.
Assessment to PR	Provide patients with clear navigation instructions to get to the assessment venue. (Vision) Remind patients to bring documents especial medication list when coming for assessment. (Thinking) Sell PR to patients and try to meet patients’ needs.
PR	Providing patients with transportation if they have difficulty in getting to PR. (Mobility) Tailor the PR class to patients if needed. (Reach & Dexterity, Mobility) Pay attention to patients who have a hearing impairment or declined thinking. (Hearing) Encourage patients to do exercises at home. Offer support if patients need it.