Effect Of An Integrated Care Approach With Self-Management In Patients With COPD

Ouellet, Isabelle; Drouin, Isabelle; Lombardo, Celia; Joubert, Alexandre; Arthur, Paul; Beaucage, Danielle; Bourbeau, Jean

doi:10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a3977

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are indications from a real life study that it is possible. 16 In patients with severe COPD, many were prone to exacerbations and were able to increase their ability to properly self-manage their acute exacerbations and this was associated with further reduction in emergency hospital visits and/or admissions. In order to be successful and harmless to the patient, this study highlights the necessity for detailed, easily accessible and frequent interactive communication (increased telephone call) with highly skilled and experienced self-manager.…”

Section: Self-management Unsuccessful Failing To Intervenementioning

confidence: 99%

Integrated care model with self-management in chronic obstructive pulmonary disease

Bourbeau

Saad

2013

Chron Respir Dis

Self Cite

View full text Add to dashboard Cite

Patient with chronic obstructive pulmonary disease (COPD) has to become a partner and an active participant in his own care, that is, disease self-management. The goal of this article is to present successful and unsuccessful interventions using patient self-management and to propose a model of integrated care more suitable to the needs of COPD patients. This is a narrative review and an opinion article. Many systematic reviews have shown positive outcomes for patients with COPD. These studies have in common a self-management intervention including an action plan in the event of an exacerbation embedded in an integrated health-care system coordinated by a case manager for educational sessions and regular communication. Recently published trials have brought controversy with respect to the effectiveness of self-management programmes, especially in patients with high burden of disease and co-morbidities. It may be more challenging to make the patient with high burden of disease a partner and not without risk of serious adverse events. Finally, our health-care delivery has to be well integrated and more coherent, that is, strategic alliance between primary and secondary care, and supported by interdisciplinary teams for patients with high-risk and complex COPD. Clinical practice has to be structured to address COPD throughout the disease spectrum, that is, secondary versus primary, team work, partnership, self-management and continuity of care.

show abstract

Section: Self-management Unsuccessful Failing To Intervenementioning

confidence: 99%