title: Barriers for setting up a pulmonary rehabilitation program in the Eastern Province of Saudi Arabia.
abstract: BACKGROUND
  Pulmonary rehabilitation (PR) programs proven to be one of the most effective treatment options for respiratory diseases; yet, they are not well-established in hospitals in Saudi Arabia.
  
  
  OBJECTIVE
  To determine the main barriers for setting up PR programs in Saudi Arabia.
  
  
  METHODS
  A cross-sectional study was conducted in the Eastern Province of Saudi Arabia. Health care providers involved in treatment of chronic obstructive pulmonary disease (COPD) patients were recruited from 22 general government hospitals. Data were collected using questionnaires: Full version if they had heard about PR before the study, and a short version if they had not heard about PR before.
  
  
  RESULTS
  A total of 123 health care providers were recruited (physicians [n = 44], nurses [n = 49], and respiratory therapists/technicians [n = 30]). Only 3.2% of the recruited health care providers had heard about PR programs before. According to the health care providers, the main barriers for setting up PR programs were a lack of (1) hospital capacity (75.6%), (2) trained health care providers (72.4%), and (3) funds (48.0%). There were significant differences in barriers reported by the health care providers. Compared to physicians, nurses were more likely to nominate the PR costs as a barrier (18.0% vs. 38.8%; P < 0.05).
  
  
  CONCLUSIONS
  There is a worrisome lack of knowledge regarding content and benefits of PR programs among Saudi health care providers treating COPD patients. These findings imply that improving awareness and increasing education of the health care providers regarding PR will be required before PR can be more widely implemented as an integral treatment modality for patients with COPD in Saudi Arabia.
authors.affiliation: Department of Respiratory Medicine, Southern Adelaide Local Health Network, Flinders University, Adelaide, Australia; Department of Respiratory Medicine, School of Medicine, Flinders University, Adelaide, Australia.
authors.forename: Mohammed E
authors.initials: ME
authors.lastname: Alsubaiei
authors.affiliation: Department of Respiratory Medicine, Southern Adelaide Local Health Network, Flinders University, Adelaide, Australia; Department of Respiratory Medicine, School of Medicine, Flinders University, Adelaide, Australia.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Cafarella
authors.affiliation: Department of Respiratory Medicine, Southern Adelaide Local Health Network, Flinders University, Adelaide, Australia; Department of Respiratory Medicine, School of Medicine, Flinders University, Adelaide, Australia.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Frith
authors.affiliation: Department of Respiratory Medicine, School of Medicine, Flinders University, Adelaide, Australia; Department of Sleep and Respiratory Medicine, Adelaide Institute for Sleep Health, Southern Adelaide Local Health Network, Daw Park, SA, Australia.
authors.forename: R Doug
authors.initials: RD
authors.lastname: McEvoy
authors.affiliation: Department of Respiratory Medicine, Southern Adelaide Local Health Network, Flinders University, Adelaide, Australia; Department of Respiratory Medicine, School of Medicine, Flinders University, Adelaide, Australia.
authors.forename: Tanja W
authors.initials: TW
authors.lastname: Effing
keywords: Barriers; Saudi Arabia; chronic obstructive; general; hospitals; pulmonary disease; rehabilitation