Developing a Multidisciplinary Approach to the COPD Care Pathway

被引:3
作者
Young, Meilin [1 ]
Villgran, Vipin [1 ]
Ledgerwood, Chelsea [2 ]
Schmetzer, Amy [1 ]
Cheema, Tariq [1 ]
机构
[1] Allegheny Hlth Network, Allegheny Gen Hosp, Div Pulm Crit Care Med, Pittsburgh, PA 15212 USA
[2] Allegheny Hlth Network, Allegheny Gen Hosp, Med Inst, Pittsburgh, PA 15212 USA
关键词
COPD care pathway and transformation; socioeconomic cost savings; OBSTRUCTIVE PULMONARY-DISEASE; DEPRESSION;
D O I
10.1097/CNQ.0000000000000345
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Chronic obstructive pulmonary disease (COPD) is characterized as a predominately preventable and treatable inflammatory lung disease caused by progressive obstructed airflow from the lungs. In the United States and worldwide, it is becoming a major cause in hospital admissions as well as an increase in morbidity and mortality. The rising total cost of care for COPD is concerning for all health care industries. The disease has significant impact on the patient's quality of life and psychological well-being. A worldwide initiative is underway in developing a care model that is multifactorial through continuous monitoring of patients to manage and control symptoms, achieve medication adherence, and provide socioeconomic resources. The primary aim of this study was to prevent exacerbations, hospital admissions, and readmissions. Various models have shown positive results; however, the significant financial investment is the major barrier to success. Recently, one health system in the United States was able to improve care, decrease readmissions, and reduce total cost of care by investing in a multidisciplinary team of specialists. In the utilization of the care model, the primary endpoint will conclude that COPD is financially and socioeconomically manageable.
引用
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页码:121 / 127
页数:7
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