Supporting referral to pulmonary rehabilitation from primary care: A systematic evaluation of interventions using the ERIC taxonomy
Sarah Hug, Sanduni Madawala, Arwel W. Jones, Caitlin Dumergue, Anne E. Holland, Narelle S. Cox · 2026
Read Supporting referral to pulmonary rehabilitation from primary care: A systematic evaluation of interventions using the ERIC taxonomy by Sarah Hug, Sanduni Madawala, Arwel W. Jones, Caitlin Dumergue, Anne E. Holland, Narelle S. Cox (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13594253.txt.
Description
Sarah Hug and colleagues reviewed what has been tried in primary care. The goal was to get more patients with chronic lung disease referred to pulmonary rehabilitation. That program pairs exercise and education to help breathing and daily life. Their 2026 review found thirteen studies and catalogued each intervention against a standard taxonomy of seventy-three implementation strategies.
Programs typically bundled about a dozen strategies, most often staff education and training, hands-on help, clinician support, and feedback on referral numbers. Despite that effort, pooling the three randomized trials showed essentially no change in referral rates. Study quality was middling overall. The authors argue that counting strategies misses the point: how a strategy is actually delivered, and whether it changes the thinking behind a referral decision, matters more than piling on components.
Catalog record
| CREATOR | Sarah Hug, Sanduni Madawala, Arwel W. Jones, Caitlin Dumergue, Anne E. Holland, Narelle S. Cox |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 46931 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |