Review Article
Pulmonary Rehabilitation in the Post-COVID-19 Era: A Comprehensive Review
Siavash Hosseinpour Chermahini*
Issue:
Volume 11, Issue 3, September 2025
Pages:
53-57
Received:
10 March 2025
Accepted:
31 March 2025
Published:
27 August 2025
Abstract: Healthcare systems around the globe have suffered immensely due to COVID-19, with Long COVID developing into a condition defined by individuals who experience ongoing symptoms long after they recover from the initial viral infection. The most common respiratory complications related to Long COVID include impaired lung function, chronic shortness of breath, and decreased exercise capacity. Pulmonary rehabilitation (PR) is an essential program for wellbeing and lung function among patients with chronic respiratory disease. This long-term respiratory sequela can be alleviated by the implementation of pulmonary rehabilitation (PR) which has shown to be one of the most efficacious strategies in these patients demonstrating restoration of pulmonary function, decrease of dyspnea and improvement of physical capacity. The paper further discusses the role of PR in patients recovering from COVID-19 as an adjunct therapy to address long-term sequelae of viral pneumonia. Moreover, the increasing use of telemedicine has been a game changer in expanding access to PR, particularly for patients who are unable to participate in face-to-face rehabilitation visits. Not only has telemedicine improved patient participation in PR programs, but it has also allowed for improved long-term health, as the service can reach more people. Therefore, it is decisive to highlight that PR continues to be a fundamental pillar in the rehabilitation of post-Covid patients, improving their health indicators and their daily life. Ultimately, the growth of telemedicine should further expand and improve the reach and utility of PR over the longer term.
Abstract: Healthcare systems around the globe have suffered immensely due to COVID-19, with Long COVID developing into a condition defined by individuals who experience ongoing symptoms long after they recover from the initial viral infection. The most common respiratory complications related to Long COVID include impaired lung function, chronic shortness of...
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Research Article
Determinants of Household Enrollment in to Community-Based Health Insurance Scheme in Hawassa City, Ethiopia: A Case-Control Study, 2023
Issue:
Volume 11, Issue 3, September 2025
Pages:
58-71
Received:
14 August 2025
Accepted:
27 August 2025
Published:
19 September 2025
DOI:
10.11648/j.jfmhc.20251103.12
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Abstract: Background: Ethiopia has been implementing community-based health insurance (CBHI) since 2011. This innovative financing method aims to improve domestic resource mobilization and sustainable health financing. This study examined the factors influencing CBHI enrollment among households in Hawassa, Ethiopia. Objective: To identify the key factors for enrollment in the community-based health insurance scheme in Hawassa city, Ethiopia. Methods: A community-based, unmatched 1:3/2 case-control study was conducted from December 1 to December 30, 2023, among 400 households (160 cases and 240 controls). Cases were chosen from households that registered for CBHI and are currently using it. Controls were selected from households that did not register for CBHI membership. Data was gathered using a semi-structured interview-administered questionnaire. We used multivariable logistic regression analysis with SPSS version 26. We considered variables statistically significant at a p-value less than 0.05, with a 95% confidence interval. Results: We collected data from 400 respondents (160 cases and 240 controls), achieving a 100% response rate. Participants with secondary education or higher, primary education, and those who can read and write showed statistically significantly higher odds of CBHI enrollment. The adjusted odds ratios (AOR) were 4.825 (95% CI: 1.592, 14.623), 3.900 (95% CI: 1.283, 11.852), and 3.129 (95% CI: 1.046, 9.355), respectively. Family size also had a significant impact, with an AOR of 2.302 (95% CI: 1.439, 3.693). Households with good knowledge of CBHI had higher odds of enrollment (AOR=2.959, 95% CI: 1.597, 5.482). Additionally, a perception of respectful care was notably linked, with an AOR of 1.819 (95% CI: 1.166, 2.835). Conclusion and recommendation: Education level, family size, knowledge, and perception of respectful care were significant factors for CBHI enrollment. Therefore, responsible organizations should enhance community education on the benefits of CBHI.
Abstract: Background: Ethiopia has been implementing community-based health insurance (CBHI) since 2011. This innovative financing method aims to improve domestic resource mobilization and sustainable health financing. This study examined the factors influencing CBHI enrollment among households in Hawassa, Ethiopia. Objective: To identify the key factors for...
Show More