COPD health care in Sweden - A study in primary and secondary care.

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COPD health care in Sweden - A study in primary and secondary care. / Löfdahl, Claes-Göran; Tilling, Björn; Ekström, Tommy; Jörgensen, Leif; Johansson, Gunnar; Larsson, Kjell.

I: Respiratory Medicine, Vol. 104, 2010, s. 404-411.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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Löfdahl, C-G, Tilling, B, Ekström, T, Jörgensen, L, Johansson, G & Larsson, K 2010, 'COPD health care in Sweden - A study in primary and secondary care.', Respiratory Medicine, vol. 104, s. 404-411. https://doi.org/10.1016/j.rmed.2009.10.007

APA

Löfdahl, C-G., Tilling, B., Ekström, T., Jörgensen, L., Johansson, G., & Larsson, K. (2010). COPD health care in Sweden - A study in primary and secondary care. Respiratory Medicine, 104, 404-411. https://doi.org/10.1016/j.rmed.2009.10.007

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Löfdahl, Claes-Göran ; Tilling, Björn ; Ekström, Tommy ; Jörgensen, Leif ; Johansson, Gunnar ; Larsson, Kjell. / COPD health care in Sweden - A study in primary and secondary care. I: Respiratory Medicine. 2010 ; Vol. 104. s. 404-411.

RIS

TY - JOUR

T1 - COPD health care in Sweden - A study in primary and secondary care.

AU - Löfdahl, Claes-Göran

AU - Tilling, Björn

AU - Ekström, Tommy

AU - Jörgensen, Leif

AU - Johansson, Gunnar

AU - Larsson, Kjell

PY - 2010

Y1 - 2010

N2 - OBJECTIVES: To map out-patients with Chronic Obstructive Pulmonary Disease (COPD) with special reference to patients suffering from acute exacerbations, and to describe COPD health care structure and process in Swedish clinical practice in a real life setting. DESIGN: Retrospective, non-interventional, epidemiological survey. SETTING: 141 hospital based out patient clinics (OPC, n=30) and primary health care clinics (PC, n=111) were included in the structure evaluation. SUBJECTS: 1004 COPD diagnosed patients from 100 of the centres (OPC, n=26) participated in the process evaluation. METHODS: All Swedish OPC (n=40) and a random sample of 180 PC were asked to answer a questionnaire regarding COPD care. In addition, data from 10 randomly selected patients with a documented COPD disease were analysed from the centres. RESULTS: Spirometers were available at all OPCs and at 99% of the PCs. Spirometry had been performed in 52% of PC-patients and in 89% of OPC-patients during the last 2 years prior to the study. More severe patients, as judged by investigator and lung function data, were treated at OPCs than at PCs. Physiotherapists, occupational therapists and dieticians were available at >80% of centres. Exacerbation rate was higher at PCs without a specialized nurse, 2.2/year versus 0.9/year at centres with a specialized nurse. CONCLUSIONS: Special attention to COPD, marked by a specialised nurse in primary care improves the quality, as assessed by a lower number of exacerbations. The structure of COPD care in Sweden for diagnosed individuals seems satisfactory, but could be improved mainly through higher availability and educational activities.

AB - OBJECTIVES: To map out-patients with Chronic Obstructive Pulmonary Disease (COPD) with special reference to patients suffering from acute exacerbations, and to describe COPD health care structure and process in Swedish clinical practice in a real life setting. DESIGN: Retrospective, non-interventional, epidemiological survey. SETTING: 141 hospital based out patient clinics (OPC, n=30) and primary health care clinics (PC, n=111) were included in the structure evaluation. SUBJECTS: 1004 COPD diagnosed patients from 100 of the centres (OPC, n=26) participated in the process evaluation. METHODS: All Swedish OPC (n=40) and a random sample of 180 PC were asked to answer a questionnaire regarding COPD care. In addition, data from 10 randomly selected patients with a documented COPD disease were analysed from the centres. RESULTS: Spirometers were available at all OPCs and at 99% of the PCs. Spirometry had been performed in 52% of PC-patients and in 89% of OPC-patients during the last 2 years prior to the study. More severe patients, as judged by investigator and lung function data, were treated at OPCs than at PCs. Physiotherapists, occupational therapists and dieticians were available at >80% of centres. Exacerbation rate was higher at PCs without a specialized nurse, 2.2/year versus 0.9/year at centres with a specialized nurse. CONCLUSIONS: Special attention to COPD, marked by a specialised nurse in primary care improves the quality, as assessed by a lower number of exacerbations. The structure of COPD care in Sweden for diagnosed individuals seems satisfactory, but could be improved mainly through higher availability and educational activities.

U2 - 10.1016/j.rmed.2009.10.007

DO - 10.1016/j.rmed.2009.10.007

M3 - Article

VL - 104

SP - 404

EP - 411

JO - Respiratory Medicine

JF - Respiratory Medicine

SN - 1532-3064

ER -