Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for i

Authors, Primary Fromer,L.
Title Primary Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes
Periodical Full International Journal of Copd
Pub Year 2011
Volume 6
issue Not Available
Start Page 605-614
Abstract Current primary care patterns for chronic obstructive pulmonary disease (COPD) focus on reactive care for acute exacerbations, often neglecting ongoing COPD management to the detriment of patient experience and outcomes. Proactive diagnosis and ongoing multifactorial COPD management, comprising smoking cessation, influenza and pneumonia vaccinations, pulmonary rehabilitation, and symptomatic and maintenance pharmacotherapy according to severity, can significantly improve a patient's health-related quality of life, reduce exacerbations and their consequences, and alleviate the functional, utilization, and financial burden of COPD. Redesign of primary care according to principles of the chronic care model, which is implemented in the patient-centered medical home, can shift COPD management from acute rescue to proactive maintenance. The chronic care model and patient-centered medical home combine delivery system redesign, clinical information systems, decision support, and self-management support within a practice, linked with health care organization and community resources beyond the practice. COPD care programs implementing two or more chronic care model components effectively reduce emergency room and inpatient utilization. This review guides primary care practices in improving COPD care workflows, highlighting the contributions of multidisciplinary collaborative team care, care coordination, and patient engagement. Each primary care practice can devise a COPD care workflow addressing risk awareness, spirometric diagnosis, guideline-based treatment and rehabilitation, and self-management support, to improve patient outcomes in COPD.
Publisher Not Available
Place of Publication New Zealand
Author/Address Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. If@grouppracticeforum.com
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Patient-Centered Care;Care Coordination;System Approach to Quality and Safety
Special Population(s) Individuals with Multiple Chronic Conditions
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No