All machines have specialist hardware capable of running large simulations. The Old Library and Student Union clusters are open 24 hours. These are located in the Tree ( Stephenson Building), Yard ( Old Library) and Hub ( Student Union) Clusters. There are a number of CAD clusters which in addition to the standard run Comp Sci Portable Apps, includes a number of programming tools.All rights reserved.The IT Service provides a number of standard PC clusters and a number of specialist PC clusters, all clusters contain the standard set of software packages which include (in addition to standard software such as a pdf reader, flash player and media players). HCPs need more knowledge of PR and the benefits it provides.Ĭhronic obstructive pulmonary disease Exacerbation Pulmonary rehabilitation Referral.Ĭopyright © 2018 Elsevier Ltd.
The rate of referral to PR is suboptimal, but there are commonly reported barriers and enablers that may help with the creation of actionable changes. The most common enabler was training/experience in PR. Six studies reported HCP perceived enablers to referral. The two most common barriers were low knowledge of what PR is and its benefits and low knowledge of the referral process. Nine studies reported HCP perceived barriers to referral. Seven studies looking at the effects of different interventions to improve COPD care reported a range of 2%-56% referral pre-intervention, and 8%-71% post-intervention. Twenty-eight observational studies reported referral rates ranging from 0% to 85%. Included articles reported referral rates and/or HCP perceived barriers and/or enablers to PR referral.įorty-two studies were included.
245 non-duplicate articles were screened. Ovid Medline, CINAHL, EMBASE, and ProQuest Dissertations and Theses were searched from inception until July 28, 2017. The purpose of this scoping review was to determine 1) the rate of referral of patients with COPD to PR by healthcare professionals (HCPs) and 2) the barriers and enablers to referral perceived by HCPs. Collating the evidence on referral rates and perceived barriers and enablers may help provide knowledge needed to increase referral. Despite pulmonary rehabilitation (PR) being an evidence-based treatment recommended for people with chronic obstructive pulmonary disease (COPD), referral to PR seems to be low.
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