ty -jour t1-肺康复的异质性：像苹果和橙子 - 健康水果JF-欧洲呼吸杂志L. au -Spanevello，Antonio Y1-2014/05/01 Ur -http：//www.qdcxjkg.com/content/43/5/1223.abstract.Abstract N2-肺康复是全面的集成护理的重要组成部分对于患有慢性阻塞性肺疾病（COPD）和其他形式的慢性呼吸道疾病的人来说，是最有效的干预措施之一[1-4]。It has been convincingly demonstrated to improve patients’ exercise tolerance [4, 5], symptoms of dyspnoea [6] and quality of life [1], and to reduce anxiety, depression [7], hospitalisations for COPD exacerbations [1, 8, 9] and urgent healthcare utilisation [10]. It is effective even for persons with complex medical comorbidities such as concurrent cardiovascular and metabolic disease [11] and for chronically critically ill persons admitted to intensive care units [12]. Several published guidelines and statements on the science and optimal implementation of pulmonary rehabilitation exist [1, 13–17]. However, despite the extensive knowledge and published evidence base regarding its benefits pulmonary rehabilitation remains severely underutilised worldwide.In this issue of the European Respiratory Journal, Spruit et al. [18] report the findings of a 12-question survey, adapted from an existing survey of pulmonary rehabilitation [19, 20], regarding the content and organisational aspects of pulmonary rehabilitation programmes from 430 centres from 40 countries. The majority of respondents were from Europe and North America. The authors found a wide degree of heterogeneity in the content, components, structure and organisation of pulmonary rehabilitation programmes worldwide. Heterogeneity was found in terms of pulmonary rehabilitation programme setting, duration, source of funding and payer reimbursement, number and type of team members, referral sources, patient types, interventions provided, and outcomes measured. The authors conclude that it is important for pulmonary rehabilitation providers to consider development of uniform performance and process metrics … ER -