COPD: Health Care Utilisation Patterns with Different Disease Management Interventions
| Autor: | Anastasia Hutchinson, Edwin K Luk, Louis Irving, Mark Tacey, Fary Khan |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Respiratory Therapy medicine.medical_specialty Time Factors medicine.medical_treatment Psychological intervention Patient Readmission Pulmonary Disease Chronic Obstructive 03 medical and health sciences 0302 clinical medicine Quality of life Risk Factors Health care Humans Medicine Pulmonary rehabilitation 030212 general & internal medicine Disease management (health) Intensive care medicine Aged Retrospective Studies Aged 80 and over Patient Care Team COPD Delivery of Health Care Integrated business.industry Process Assessment Health Care Retrospective cohort study Middle Aged medicine.disease Treatment Outcome Clinical research 030228 respiratory system Health Resources Female business |
| Zdroj: | Lung. 195:455-461 |
| ISSN: | 1432-1750 0341-2040 |
| Popis: | The management of COPD is a significant and costly issue worldwide, with acute healthcare utilisation consisting of admissions and outpatient attendances being a major contributor to the cost. Pulmonary rehabilitation (PR) and integrated disease management (IDM) are often offered. Whilst there is strong evidence of physical and quality of life outcomes following IDM and PR, few studies have looked into healthcare utilisation. The aims of this study were to confirm whether IDM and PR reduce acute healthcare utilisation and to identify factors which contribute to acute health care utilisation or increased mortality. This was a retrospective cohort study of patients with COPD who were referred to IDM over a 10-year period. Patients were also offered an 8-week PR program. Data collected were matched with the hospital dataset to obtain information on inpatient, ED and outpatient attendances. 517 patients were enrolled to IDM. 315 (61%) also commenced PR and 220 (43%) completed PR. Patients who were referred to PR were younger and had less comorbidities (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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