scholarly journals Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world

2012 ◽  
pp. 271 ◽  
Author(s):  
Richard Walters ◽  
Zaurbek Aisanov ◽  
Chunxue Bai ◽  
Bauerle ◽  
Colodenco ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Primary Care ◽  
Pulmonary Disease ◽  
Primary Care Physician ◽  
Care Physician ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Diagnosis And Management ◽  
Physician Perceptions ◽  
The World

Chronic obstructive pulmonary disease: A guide for the primary care physician

2016 ◽  
Vol 62 (6) ◽  
pp. 164-187
Author(s):  
Gautam Raju Mehta ◽  
Rafat Mohammed ◽  
Sarah Sarfraz ◽  
Tajwaar Khan ◽  
Khansa Ahmed ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Primary Care ◽  
Pulmonary Disease ◽  
Primary Care Physician ◽  
Care Physician ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

scholarly journals The feasibility of an innovative GP-physiotherapist partnership to identify and manage chronic obstructive pulmonary disease (INTEGRATED): study protocol

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Lisa Pagano ◽  
Zoe McKeough ◽  
Sally Wootton ◽  
Stephen Crone ◽  
Deborah Pallavicini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Obstructive Pulmonary Disease ◽  
Primary Care ◽  
Pulmonary Disease ◽  
Chronic Obstructive ◽  
Model Of Care ◽  
Obstructive Pulmonary Disease ◽  
Diagnosis And Management ◽  
Number Of Patients ◽  
A Current

Abstract Background Chronic obstructive pulmonary disease (COPD) contributes significantly to mortality, hospitalisations and health care costs worldwide. There is evidence that the detection, accurate diagnosis and management of COPD are currently suboptimal in primary care. Physiotherapists are well-trained in cardiorespiratory management and chronic care but are currently underutilised in primary care. A cardiorespiratory physiotherapist working in partnership with general practitioners (GPs) has the potential to improve quality of care for people with COPD. Methods A prospective pilot study will test the feasibility of an integrated model of care between GPs and physiotherapists to improve the diagnosis and management of people with COPD in primary care. Four general practices will be selected to work in partnership with four physiotherapists from their local health district. Patients at risk of developing COPD or those with a current diagnosis of COPD will be invited to attend a baseline assessment with the physiotherapist, including pre- and post-bronchodilator spirometry to identify new cases of COPD or confirm a current diagnosis and stage of COPD. The intervention for those with COPD will involve the physiotherapist and GP working in partnership to develop and implement a care plan involving the following tailored to patient need: referral to pulmonary rehabilitation (PR), physical activity counselling, medication review, smoking cessation, review of inhaler technique and education. Process outcomes will include the number of people invited and reviewed at the practice, the proportion with a new diagnosis of COPD, the number of patients eligible and referred to PR and the number who attended PR. Patient outcomes will include changes in symptoms, physical activity levels, smoking status and self-reported exacerbations. Discussion If feasible, we will test the integration of physiotherapists within the primary care setting in a cluster randomised controlled trial. If the model improves health outcomes for the growing numbers of people with COPD, then it may provide a GP-physiotherapist model of care that could be tested for other chronic conditions. Trial registration ANZCTR, ACTRN12619001127190. Registered on 12 August 2019—retrospectively registered.

scholarly journals Asthma and Chronic Obstructive Pulmonary Disease Guideline Implementation: Lessons Learned on Recruitment of Primary Care Physicians to a Knowledge Translation Study

2013 ◽  
Vol 20 (4) ◽  
pp. 275-280 ◽  
Author(s):  
Louis-Philippe Boulet ◽  
Paul Hernandez ◽  
Hollie Devlin ◽  
Marni A Freeman ◽  
Samir Gupta
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Primary Care ◽  
Knowledge Translation ◽  
Pulmonary Disease ◽  
Primary Care Physicians ◽  
Guideline Implementation ◽  
Care Physician ◽  
Lessons Learned ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

BACKGROUND: Implementation of current clinical practice guidelines in asthma and chronic obstructive pulmonary disease (COPD) is suboptimal. New implementation strategies should be developed and evaluated.METHODS: The authors report the rationale and planned methods of a project that sought to use a multifaceted knowledge translation intervention consisting of interactive education, mentorship through quality circles and practice-based tools in primary care to address key asthma and COPD care gaps. The present study was aborted due to inadequate primary care physician recruitment. Accordingly, the authors provide a critical review of their recruitment strategies and discuss alternative approaches and examples based on previous literature.DISCUSSION: These practical lessons and discussion seek to inform researchers involved in designing and recruiting for future knowledge translation studies addressing chronic disease management in primary care.

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