Details

Autor(en) / Beteiligte

• Koolen, E.H.
• van den Borst, B.
• de Man, M.
• Antons, J.C.
• Robberts, B.
• Dekhuijzen, P.N.R.
• Vercoulen, J.H.
• van den Heuvel, M.
• Spruit, M.A.
• van der Wees, P.J.
• van ’t Hul, A.J.

Titel

The clinical effectiveness of the COPDnet integrated care model

Ist Teil von

• Respiratory medicine, 2020-10, Vol.172, p.106152-106152, Article 106152

Ort / Verlag

Oxford: Elsevier Ltd

Erscheinungsjahr

2020

Quelle

Elsevier ScienceDirect Journals

Beschreibungen/Notizen

• Integrated care models have the potential to improve outcomes for patients with COPD. We therefore designed the COPDnet integrated care model and implemented it in two hospitals and affiliated primary care regions in the Netherlands. The COPDnet model consists of a comprehensive diagnostic trajectory ran in secondary care followed by a non-pharmacological intervention program of both monodisciplinary and multidisciplinary components. To assess the clinical effectiveness of the COPDnet integrated care model on health status change in patients with COPD. A total of 402 patients with COPD were offered care according to the COPDnet model. At baseline and between 7- and 9-months later health status was measured with the Clinical COPD Questionnaire (CCQ). Primary analysis was carried out for the sample at large. In addition, subgroup analyses were performed after stratification for the type of non-pharmacological intervention where patients had been referred to. The CCQ total score improved statistically significantly from 1.94 ± 1.04 to 1.73 ± 0.96 (P < 0.01) in the 154 patients with valid follow-up measurements. Subgroup analyses revealed significant improvements in the patients receiving pulmonary rehabilitation only. No change in health status was found in patients receiving pharmacotherapy only, carried out self-treatment or who participated in mono-disciplinary primary care offered by allied healthcare professionals. An improved health status was found in patients with COPD who received care according to the COPDnet integrated care model. Subgroups participating in an interdisciplinary pulmonary rehabilitation program predominantly accounted for this effect. •Integrated care models for patients with COPD hold the promise to better outcomes of care.•Application of the COPDnet integrated care model resulted in a significantly better health status in patients with COPD.•Responses obtained in patients referred to pulmonary rehabilitation were mainly responsible for this effect.