Harmonizing domiciliary oxygen therapy in Canada

被引：0

作者：

Vidyasankar, Gokul ^{[1
]}

Wickerson, Lisa ^{[2
,3
]}

Lee, Sharon ^{[4
]}

Zapata, Roberto ^{[4
]}

机构：

[1] Mem Univ, Fac Med, St John, NF A1C 5S7, Canada

[2] Univ Hlth Network, Toronto Lung Transplant Program, Toronto, ON, Canada

[3] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada

[4] Canadian Pulm Fibrosis Fdn, Markham, ON, Canada

来源：

CANADIAN JOURNAL OF RESPIRATORY CRITICAL CARE AND SLEEP MEDICINE | 2025年 / 9卷 / 03期

关键词：

COPD; domiciliary oxygen; home oxygen; hypoxemia; interstitial lung disease; INTERSTITIAL LUNG-DISEASE; SUPPLEMENTAL OXYGEN; AMBULATORY OXYGEN; RANDOMIZED-TRIAL; COPD; ADULTS;

D O I：

10.1080/24745332.2025.2467038

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Domiciliary oxygen therapy is routinely prescribed for patients with chronic respiratory disease and evidence of hypoxemia, including chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). Despite the evidence supporting this practice, there is considerable variability in medical and reimbursement criteria across Canada. Some provinces offer universal financial support toward domiciliary oxygen for those who need it, whereas other provinces provide coverage only if certain income criteria are met. This heterogeneity leads to inequality of care from one region to the next. Surveys of patients, caregivers and healthcare providers such as those recently developed by the Canadian Pulmonary Fibrosis Foundation highlight many of the real-life challenges around providing domiciliary oxygen. The purpose of this paper is to review key evidence around domiciliary oxygen in COPD and ILD, provide an overview of the Canadian landscape, and recommend harmonized financial and medical criteria to improve the equity of care for patients across the country. L'oxyg & eacute;noth & eacute;rapie & agrave; domicile est couramment prescrite aux patients atteints d'une maladie respiratoire chronique associ & eacute;e & agrave; des signes d'hypox & eacute;mie, notamment la maladie pulmonaire obstructive chronique (MPOC) et la maladie pulmonaire interstitielle (MPI). Bien que les donn & eacute;es probantes soutiennent cette pratique, il existe une variabilit & eacute; consid & eacute;rable dans les crit & egrave;res m & eacute;dicaux et de remboursement d'un endroit & agrave; l'autre au Canada. Certaines provinces offrent un soutien financier universel pour l'oxyg & egrave;ne & agrave; domicile pour ceux qui en ont besoin, tandis que d'autres provinces n'offrent une couverture que si certains crit & egrave;res de revenu sont remplis. Cette h & eacute;t & eacute;rog & eacute;n & eacute;it & eacute; conduit & agrave; une in & eacute;galit & eacute; dans les soins d'une r & eacute;gion & agrave; l'autre. Des sondages men & eacute;s aupr & egrave;s de patients, de soignants et de fournisseurs de soins de sant & eacute;, tels que ceux r & eacute;cemment r & eacute;alis & eacute;s par la Fondation canadienne de la fibrose pulmonaire, mettent en & eacute;vidence bon nombre des d & eacute;fis concrets li & eacute;s & agrave; la fourniture d'oxyg & egrave;ne & agrave; domicile. Le but de cet article est d'examiner les principales donn & eacute;es probantes concernant l'oxyg & eacute;noth & eacute;rapie & agrave; domicile dans les cas de MPOC et de MPI, de donner un aper & ccedil;u du contexte canadien et de recommander des crit & egrave;res financiers et m & eacute;dicaux harmonis & eacute;s pour am & eacute;liorer l'& eacute;quit & eacute; des soins pour les patients dans l'ensemble du pays.

引用

页码：117 / 124

页数：8

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