Umsetzung der COPD-Guidelines in Grundversorgerpraxen

2016 ◽  
Vol 73 (6) ◽  
pp. 327-332
Author(s):  
Claudia Gerhards ◽  
Claudia Gregoriano ◽  
Cora Moser ◽  
Thomas Dieterle ◽  
Jörg Leuppi

Zusammenfassung. Die chronisch obstruktive Lungenerkrankung (COPD) ist vor allem unter Rauchern eine weit verbreitete Krankheit in der Schweiz. Der Verlauf ist oft progredient und die chronisch kranken und oft polymorbiden Patienten sind auf funktionierende Behandlungsnetzwerke angewiesen. Gesundheitspolitisch und auch medizinisch ist mehr Netzwerkdenken gefragt und notwendig und die Erarbeitung von eines chronic care models (CCM) äusserst sinnvoll. Die Basis dafür ist das evidenz-basierte Vorgehen. In diesem Artikel werden die Guidelines zur Diagnostik und Behandlung der COPD und deren Implementierung beleuchtet. Vorwegzunehmen ist, dass bereits ein breites Behandlungsangebot besteht und viele innovative Projekte lanciert wurden, um die Behandlungsqualität der COPD zu optimieren.

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Carol Davy ◽  
Jonathan Bleasel ◽  
Hueiming Liu ◽  
Maria Tchan ◽  
Sharon Ponniah ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033929
Author(s):  
Renata Josi ◽  
Monica Bianchi

ObjectivesWe aimed to analyse roles and tasks of advanced practice nurses (APNs), registered nurses (RNs) without advanced practice education and medical practice assistants (MPAs) with regard to chronic care in Swiss primary care (PC). The objective of this study was to explore the potential of new care models, involving these health professionals, which could meet changing future healthcare needs.DesignAn ethnographic design comprising semi-structured interviews and non-participant observations was conducted.SettingHealth professionals who worked in 10 primary care practices in the German-speaking part of Switzerland were included in the study.ParticipantsIn total, 16 interviews were conducted with four APNs, six MPAs, two RNs and four general practitioners (GPs). Nine of the health professionals were subsequently observed in their primary care practice.ResultsAPNs and MPAs were both involved in chronic care in the PC practice. While APNs cared for older, multimorbid patients with more complex needs, MPAs were involved in counselling of younger patients with chronic disease such as type 2 diabetes. Additionally, APNs were involved in many home visits and visits in elderly peoples — and nursing homes. APNs worked with a high degree of autonomy while MPAs had worked mostly in delegation. Task division between GPs and APNs or MPAs was not clear in every case yet.ConclusionsAPNs and MPAs have a high potential to contribute to optimal care in new care models, which address needs of the elderly population. The experience from our sample may inform international health policymakers and practitioners about the tasks and responsibilities those health professionals can take over in PC when implementing new models of care. The practical experience with new models of care involving APNs and MPAs may also influence the future regulation with regard to the scope of practice of these health professionals in Switzerland.


Medical Care ◽  
2013 ◽  
Vol 51 (10) ◽  
pp. 922-930 ◽  
Author(s):  
Christopher J. Miller ◽  
Andrew Grogan-Kaylor ◽  
Brian E. Perron ◽  
Amy M. Kilbourne ◽  
Emily Woltmann ◽  
...  

2017 ◽  
Vol 17 (5) ◽  
pp. 437 ◽  
Author(s):  
Roberto Nuño-Solinís ◽  
Jose Joaquín Mira ◽  
Mercedes Guilabert ◽  
Paloma Fernández-Cano

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Carol Davy ◽  
Jonathan Bleasel ◽  
Hueiming Liu ◽  
Maria Tchan ◽  
Sharon Ponniah ◽  
...  

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