Web of Science: 11 citations, Scopus: 11 citations, Google Scholar: citations
Assessment of a primary and tertiary care integrated management model for chronic obstructive pulmonary disease
Bolíbar, Ignasi (Institut d'Investigació Biomèdica Sant Pau)
Plaza, Vicente (Institut d'Investigació Biomèdica Sant Pau)
Llauger, Mariantònia (EAP Encants, CAP Maragall, Intitut Català de la Salut)
Amado, Ester (Àmbit Barcelona. Intitut Català de la Salut)
Antón Albisu, Pedro Antonio (Institut d'Investigació Biomèdica Sant Pau)
Espinosa, Ana (Institut d'Investigació Biomèdica Sant Pau)
Domínguez, Leandra (EAP Encants, CAP Maragall, Intitut Català de la Salut)
Fraga, Mar (EAP Xafarinas. Intitut Català de la Salut)
Freixas, Montserrat (EAP Dreta de l'Eixample, Barcelona)
de la Fuente, Josep A (SAP Badalona-Sant Adrià, Intitut Català de la Salut)
Liguerre, Iskra (CAP Sant Andreu, Intitut Català de la Salut)
Medrano, Casimira (EAP Clot, Intitut Català de la Salut)
Peiro, Meritxell (Institut d'Investigació Biomèdica Sant Pau)
Pou, Mariantònia (EAP Encants, CAP Maragall, Intitut Català de la Salut)
Sanchis, Joaquin (Institut d'Investigació Biomèdica Sant Pau)
Solanes, Ingrid (Institut d'Investigació Biomèdica Sant Pau)
Valero, Carles (SAP Dreta, Intitut Català de la Salut)
Valverde, Pepi (EAP Gaudí (CAP Sagrada Familia), Consorci Sanitari Integral, Barcelona)
Universitat Autònoma de Barcelona

Date: 2009
Abstract: The diagnosis and treatment of patients with chronic obstructive pulmonary disease (COPD) in Spain continues to present challenges, and problems are exacerbated when there is a lack of coordinated follow-up between levels of care. This paper sets out the protocol for assessing the impact of an integrated management model for the care of patients with COPD. The new model will be evaluated in terms of 1) improvement in the rational utilization of health-care services and 2) benefits reflected in improved health status and quality of life for patients. A quasi-experimental study of the effectiveness of a COPD management model called COPD PROCESS. The patients in the study cohorts will be residents of neighborhoods served by two referral hospitals in Barcelona, Spain. One area comprises the intervention group (n = 32,248 patients) and the other the control group (n = 32,114 patients). The study will include pre- and post-intervention assessment 18 months after the program goes into effect. Analyses will be on two datasets: clinical and administrative data available for all patients, and clinical assessment information for a cohort of 440 patients sampled randomly from the intervention and control areas. The main endpoints will be the hospitalization rates in the two health-care areas and quality-of-life measures in the two cohorts. The COPD PROCESS model foresees the integrated multidisciplinary management of interventions at different levels of the health-care system through coordinated routine clinical practice. It will put into practice diagnostic and treatment procedures that are based on current evidence, multidisciplinary consensus, and efficient use of available resources. Care pathways in this model are defined in terms of patient characteristics, level of disease severity and the presence or absence of exacerbation. The protocol covers the full range of care from primary prevention to treatment of complex cases.
Note: Altres ajuts: SEPAR,2006, projecte no. 96; IDIAP Jordi Gol (traducció i publicació de l'article)
Note: Número d'acord de subvenció ISCIII/PI07/90116
Rights: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Language: Anglès
Document: article ; recerca ; publishedVersion
Published in: BMC public health, Vol. 9 (2 2009) , p. 68, ISSN 1471-2458

DOI: 10.1186/1471-2458-9-68
PMID: 19239679
PMID: 19239679

11 p, 608.4 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació Biomèdica Sant Pau
Articles > Research articles
Articles > Published articles

 Record created 2017-12-20, last modified 2021-03-12

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