COPD and Rural Health: A Dialogue on the National Action Plan

Moore, P. Quincy; Atkins, Graham; Cramb, Stephanie; Croft, Janet B.; Davis, Lisa; Dolor, Rowena J; Doyle, D. John; Elehwany, Maggie; James, Cara; Knudson, Alana; Linnell, John; Mannino, David M.; Rommes, Jean; Sood, Anil K.; Stockton, Eric; Weissman, David N.; Witte, Mike; Wyatt, Eugenia; Yarbrough, William C.; Yawn, Barbara P.; Johnson, Lenora; Morris, Tom; Kiley, James P.; Ammary-Risch, Neyal J; Punturieri, Antonello

doi:10.1111/jrh.12346

Cited by 13 publications

(11 citation statements)

References 32 publications

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“…The COVID-19 pandemic should prompt us to expand the use of telemedicine, teleeducation, telementoring, and telemonitoring in rural mining communities, as was presciently recommended by the 2019 US COPD National Action Plan prior to the pandemic. 14…”

Section: Discussionmentioning

confidence: 99%

“…13 Rural local chapters of support groups, such as the American Lung Association Better Breathers Clubs have also shut down. While telehealth can help relieve isolation, support appropriate education, and assist in patient care, 14 lack of Internet access still continues to be a barrier in some rural mining communities. 15…”

Section: Outpatient Pulmonary Rehabilitationmentioning

confidence: 99%

“…8 Structured longitudinal telementoring of rural health care professionals could create a virtual "community of practice" that would facilitate team management of complex mining-related diseases in rural areas. 14 The strategy of "moving knowledge" instead of "moving patients" has been shown to be effective in managing other chronic diseases in medically underserved areas using the Extension for Community Health Outcomes (ECHO) model for telementoring. [17][18][19][20] Ironically, the NMbased Miners' Wellness Tele-ECHO program temporarily stopped in April 2020 to help meet the high demand for tele-education of rural providers on the management of the COVID-19 infected patients.…”

Section: Professional Education and Trainingmentioning

confidence: 99%

“…Structured longitudinal telementoring of rural health care professionals could create a virtual “community of practice” that would facilitate team management of complex mining‐related diseases in rural areas 14 . The strategy of “moving knowledge” instead of “moving patients” has been shown to be effective in managing other chronic diseases in medically underserved areas using the Extension for Community Health Outcomes (ECHO) model for telementoring 17‐20 .…”

Section: Professional Education and Trainingmentioning

confidence: 99%

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Caring for Miners During the Coronavirus Disease‐2019 (COVID‐19) Pandemic

Sood

Pollard²,

Suer

et al. 2020

The Journal of Rural Health

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Miners constitute an underserved, isolated, medically vulnerable, and often underinsured, rural population. 1 In the southwestern United States (US), most miners are Hispanic or American Indian, and high school dropouts. 1 The recent re-emergence of pneumoconioses 2 has created a challenge for rural mining communities in the US. Rural residents also experience a higher prevalence of, and deaths from, chronic obstructive pulmonary disease (COPD) than nonrural residents. 3 Rural miners similarly are at greater risk for COPD and self-reported dust-related lung disease than non-rural miners. 4 The World Health Organization declared coronavirus disease-2019 (COVID-19) a pandemic on March 11, 2020. Although urban areas are disproportionately affected, the disease has spread to rural areas, where its prevention and treatment may be more challenging because of the lower concentration of medical and public health resources. 5 Data indicate that men are more susceptible than women, and that smoking affects outcomes adversely. 4,6 Given that miners, mostly men and often smokers, have a dispoportionately high prevalence of hypertension and diabetes (other risk factors for COVID-19 1,7), miners may constitute a susceptible population for this disease.

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Section: Discussionmentioning

confidence: 99%

Section: Outpatient Pulmonary Rehabilitationmentioning

confidence: 99%

Section: Professional Education and Trainingmentioning

confidence: 99%

Section: Professional Education and Trainingmentioning

confidence: 99%

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Caring for Miners During the Coronavirus Disease‐2019 (COVID‐19) Pandemic

Sood

Pollard²,

Suer

et al. 2020

The Journal of Rural Health

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“…As recently communicated by leading rural COPD researchers 27 the primary goal of a national action plan around COPD should be to empower people with COPD, their families, and caregivers to recognize and reduce the burden of COPD. A prepared pro-active team, in all sectors of health and support services, should work in a collaborative manner and be competent in supporting education and self-management.…”

Section: Discussionmentioning

confidence: 99%

Consumer experiences of Chronic Obstructive Pulmonary Disease in regional Australia: A mixed methods study and logic model to identify consumer-experience mechanisms to avoid hospital and enhance outcomes

Moran¹,

Chapman²,

Picard³

et al. 2020

Patient Experience Journal

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Quality Standard Position Statements for Health System Policy Changes in Diagnosis and Management of COPD: A Global Perspective

Bhutani

Price

Winders³

et al. 2022

Adv Ther

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Introduction Despite being a leading cause of death worldwide, chronic obstructive pulmonary disease (COPD) is underdiagnosed and underprioritized within healthcare systems. Existing healthcare policies should be revisited to include COPD prevention and management as a global priority. Here, we propose and describe health system quality standard position statements that should be implemented as a consistent standard of care for patients with COPD. Methods A multidisciplinary group of clinicians with expertise in COPD management together with patient advocates from eight countries participated in a quality standards review meeting convened in April 2021. The principal objective was to achieve consensus on global health system priorities to ensure consistent standards of care for COPD. These quality standard position statements were either evidence-based or reflected the combined views of the panel. Results On the basis of discussions, the experts adopted five quality standard position statements, including the rationale for their inclusion, supporting clinical evidence, and essential criteria for quality metrics. These quality standard position statements emphasize the core elements of COPD care, including (1) diagnosis, (2) adequate patient and caregiver education, (3) access to medical and nonmedical treatments aligned with the latest evidence-based recommendations and appropriate management by a respiratory specialist when required, (4) appropriate management of acute COPD exacerbations, and (5) regular patient and caregiver follow-up for care plan reviews. Conclusions These practical quality standards may be applicable to and implemented at both local and national levels. While universally applicable to the core elements of appropriate COPD care, they can be adapted to consider differences in healthcare resources and priorities, organizational structure, and care delivery capabilities of individual healthcare systems. We encourage the adoption of these global quality standards by policymakers and healthcare practitioners alike to inform national and regional health system policy revisions to improve the quality and consistency of COPD care worldwide. Supplementary Information The online version contains supplementary material available at 10.1007/s12325-022-02137-x.

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COPD and Rural Health: A Dialogue on the National Action Plan

Cited by 13 publications

References 32 publications

Caring for Miners During the Coronavirus Disease‐2019 (COVID‐19) Pandemic

Caring for Miners During the Coronavirus Disease‐2019 (COVID‐19) Pandemic

Consumer experiences of Chronic Obstructive Pulmonary Disease in regional Australia: A mixed methods study and logic model to identify consumer-experience mechanisms to avoid hospital and enhance outcomes

Quality Standard Position Statements for Health System Policy Changes in Diagnosis and Management of COPD: A Global Perspective

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