Knowledge, Attitudes, and Perceptions of Filipino Pediatricians on Pulmonary Rehabilitation in Children

ABSTRACT
Background: Pulmonary Rehabilitation (PR) is a multidisciplinary program that improves physical function, symptom control and quality of life (QoL) in patients with chronic lung diseases (CLD). Understanding pediatricians’ perspectives on PR is essential to inform strategies that enhance referral practices and expand pediatric PR services.
Objective: the main objective is to assess the knowledge, attitudes and perceptions of Filipino pediatricians on PR among children.
Methods: a cross-sectional analytic study using convenience sampling was conducted through an online survey distributed to social media and Viber accounts of general pediatricians (GPs) and pediatric pulmonologists (PPs) practicing in the Philippines. The survey collected data on demographics, PR knowledge, attitudes, perceived benefits, and barriers to referral. Statistical analyses included t-tests, Mann-Whitney U tests, Chi-square/Fisher’s exact tests, and univariate and multivariate logistic regression.
Results: a total of 102 pediatricians participated (51 GPs, 51 PPs). PPs were significantly more likely to refer patients to PR (74.5%) than GPs (23.5%) (p <0.001). Referral was positively associated with subspecialty training, private practice setting, geographic location, longer clinical experience, and strong belief in PR’s benefits for anxiety, depression, and disease self-management. Major barriers included limited PR centers, high costs, transportation issues, and lack of awareness — factors reported by both groups.
Conclusion: while Filipino pediatricians acknowledge the value of PR, its utilization remains suboptimal due to systemic and perceptual barriers. Addressing gaps in knowledge, expanding access to PR services, and enhancing referral pathways are essential to optimize care for children with CLD. Strategic efforts involving training, advocacy, insurance coverage and infrastructure development are
needed to promote equitable and sustained integration of pediatric PR nationwide.

IMPACT STATEMENT
Significant disparities in referral practices and widespread systemic barriers highlight the urgent need to strengthen pediatric PR awareness, accessibility, and integration into routine pediatric care.

Received: Nov 20, 2025
Accepted: Dec 24, 2025
Published: Apr 02, 2026