Pulmonary rehabilitation therapy remains under-utilised despite being a low-cost and highly effective treatment option, observes a recent analysis. According to a new study published in BMJ Open, pulmonary rehabilitation therapy remains grossly under-utilised despite its advantages, often resulting in improved exercise capacity, reduced symptoms, and a better prognosis, largely due to a lack of referrals from primary care providers. The study, conducted by Rachel Elizabeth Jordan and colleagues at the University of Birmingham in the United Kingdom, also revealed that referrers reported many barriers but few enablers, which collectively resulted in infrequent discussions about PR and associated referrals. The researchers pointed that in their analyses of 252 primary care providers, a major problem found was infrequent engagement between rehabilitation providers and referrers, as well as concern about whether patients would be able to handle PR or access it. The researchers highlighted the importance of referrals and proposed having a dedicated time to suggest referrals (such as an annual review), and offering on-screen referral prompts within practice software to help enable referrals.