[Implementation of respiratory rehabilitation in the municipalities of Valparaíso, Viña del Mar, Quilpué and Villa Alemana in 2013].
BACKGROUND
Pulmonary rehabilitation is a keystone in the treatment of patients with Chronic Obstructive Pulmonary Disease. Significantly reduces the costs to the health system, the use of health resources by reducing hospital stay and consultations to emergency services.


OBJECTIVE
Describe the current condition of respiratory rehabilitation in primary care centers located in the region of Valparaíso.


METHODS
A closed survey in the respiratory centers of primary health care was applied. The sample consisted of 32 health centers corresponding to the communes of Valparaíso, Viña del Mar, Quilpué and Villa Alemana.


RESULTS
9 centers (28%) of the total sample performed pulmonary rehabilitation and the same number have a structured rehabilitation program. In 15 (47%) of the centers there is a Nutritionist in the health team. In 100% of hospitals patients assessed by spirometry and dyspnea scales. Most centers (89%) training upper and lower extremities. Among the factors that limit the performance of respiratory rehabilitation, 20 (63%) report that the schedule are one of the most limiting factors, while 23 (72%) report that centers do not have adequate space and 22 (69%) centers relate not have the minimum equipment necessary.


CONCLUSIONS
Our findings suggest that most respiratory rehabilitation center did not performed as part of the treatment of patients with chronic obstructive pulmonary disease, mainly due to problems of human, material and infrastructure.
Magíster en Ciencias. Escuela de Kinesiología, Universidad Santo Tomás sede Viña del Mar.. pablomanriquez@santotomas.cl.
Pablo
P
Manriquez Villarroel
Licenciado en Kinesiología. Universidad Santo Tomás sede Viña del Mar.. pablomanriquez@santotomas.cl.
Yasna
Y
Colines Rodríguez
Licenciado en Kinesiología. Universidad Santo Tomás sede Viña del Mar.. pablomanriquez@santotomas.cl.
Felipe
F
Poblete Vega
Licenciado en Kinesiología. Universidad Santo Tomás sede Viña del Mar.. pablomanriquez@santotomas.cl.
Jaime
J
Otárola Bravo
Licenciado en Kinesiología. Universidad Santo Tomás sede Viña del Mar.. pablomanriquez@santotomas.cl.
Cristhian
C
Paredes Barrera
Licenciado en Kinesiología. Pontificia Universidad Católica de Valparaíso. Chile.. pablomanriquez@santotomas.cl.
Ana María
AM
Acuña Cabrera
D001132:Arm / Q000503:physiopathology; D002677:Chile; D003948:Diagnostic Techniques, Respiratory System / Q000706:statistics & numerical data; D005081:Exercise Therapy; D019538:Health Care Surveys; D006295:Health Resources / Q000600:supply & distribution; D006301:Health Services Needs and Demand; D006280:Health Workforce / Q000706:statistics & numerical data; D006801:Humans; D007866:Leg / Q000503:physiopathology; D010348:Patient Care Team / Q000706:statistics & numerical data; D011320:Primary Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation*; D012047:Rehabilitation Centers / Q000458:organization & administration / Q000706:statistics & numerical data*; D012132:Respiratory Muscles / Q000503:physiopathology; D011795:Surveys and Questionnaires