<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-0011</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[rev.fac.med.]]></abbrev-journal-title>
<issn>0120-0011</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-00112019000200325</article-id>
<article-id pub-id-type="doi">10.15446/revfacmed.v67n2.67252</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¿Por qué la rehabilitación respiratoria no llega a todos los pacientes de enfermedad pulmonar obstructiva crónica que lo necesitan? Revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Why does not pulmonary rehabilitation reach all Chronic Obstructive Pulmonary Disease patients who need it? Literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rigo]]></surname>
<given-names><![CDATA[Aina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paz-Lourido]]></surname>
<given-names><![CDATA[Berta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de la Cruz Roja Española  ]]></institution>
<addr-line><![CDATA[Palma de Mallorca ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de les Illes Balears  ]]></institution>
<addr-line><![CDATA[Palma de Mallorca ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>67</volume>
<numero>2</numero>
<fpage>325</fpage>
<lpage>332</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-00112019000200325&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-00112019000200325&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-00112019000200325&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. La rehabilitación respiratoria (RR) es un tratamiento clave en la enfermedad pulmonar obstructiva crónica, pero aun estando disponible, los pacientes no siempre acceden a ella.  Objetivo. Identificar los factores que pueden limitar el acceso a la RR y que se relacionan con los pacientes, los médicos y los fisioterapeutas.  Materiales y métodos. Se realizó una revisión de artículos publicados en inglés y español entre 2006 y 2018. Se usaron los términos "COPD", "chronic obstructive pulmonary disease", "COLD", "chronic obstructive lung disease", "physical therapy modalities", "rehabilitation", "health services accessibility" y "patient" en las bases de datos PubMed, PEDro, Scielo e IBECS.  Resultados. Se seleccionaron 11 publicaciones. Entre las barreras que afectan a los pacientes destacan el transporte, la condición ambiental, las situaciones personales y algunos factores sociales y contextuales. El conocimiento de los profesionales, sus condiciones de trabajo y sus expectativas sobre beneficio de los protocolos de RR también son factores que condicionan el acceso de los pacientes.  Conclusiones. La formación interprofesional de médicos y fisioterapeutas, la implantación de protocolos flexibles a las condiciones de los pacientes y las medidas organizativas e intersectoriales del sistema sanitario pueden facilitar la accesibilidad a la RR de los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Pulmonary rehabilitation (PR) is a key treatment in chronic obstructive pulmonary disease, but even when available, patients do not always have access to it.  Objective: To identify factors or barriers that may limit access to PR related to patients, physicians and physiotherapists.  Materials and methods: A review of articles published in English and Spanish between 2006 and 2018 was conducted. The terms "COPD", "chronic obstructive pulmonary disease", "COLD", "chronic obstructive lung disease", "physical therapy modalities", "rehabilitation", "health services accessibility" and "patient" were used in the PubMed, PEDro, Scielo and IBECS databases.  Results: Eleven publications were selected. Barriers affecting patients include transportation, environmental conditions, personal situations, and some social and contextual factors. The knowledge of professionals, their working conditions and their expectations regarding the benefit of PR protocols are also factors that condition patient access.  Conclusions: The interprofessional training of physicians and physiotherapists, the implementation of flexible protocols according to patient conditions, and the organizational and intersectoral measures of the health system can facilitate accessibility to PR by patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad pulmonar obstructiva crónica]]></kwd>
<kwd lng="es"><![CDATA[Fisioterapia]]></kwd>
<kwd lng="es"><![CDATA[Equidad en Salud (DeCS)]]></kwd>
<kwd lng="en"><![CDATA[Chronic Obstructive Pulmonary Disease]]></kwd>
<kwd lng="en"><![CDATA[Physical Therapy Modalities]]></kwd>
<kwd lng="en"><![CDATA[Health Equity (MeSH)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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