Patient-perceived treatment burden of chronic obstructive pulmonary disease

Harb, Nathan; Foster, Juliet; Dobler, Claudia C.

doi:10.2147/copd.s130353

Cited by 36 publications

(60 citation statements)

References 27 publications

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“…Many patients who do not adhere to prescribed treatments, however, say that they know that they should do differently but that they lack the information and support to do so 7. Patients will also reject medical advice if the perceived benefit is considered insufficient in relation to the required investment of time, energy, and cost 8. These assessments about return on investment may be done consciously or intuitively, particularly when patients are overburdened by their treatment workload.…”

Section: Consequences Of Overburdenmentioning

confidence: 99%

Treatment burden should be included in clinical practice guidelines

Dobler

Harb

Maguire

et al. 2018

BMJ

Self Cite

109

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Section: Consequences Of Overburdenmentioning

confidence: 99%

Treatment burden should be included in clinical practice guidelines

Dobler

Harb

Maguire

et al. 2018

BMJ

Self Cite

109

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“…But a randomized controlled trial demonstrated that most patients with COPD (ie, all except a subset of the highest risk patients) derive no benefit from the oxygen-not in terms of survival, hospital admissions, or quality of life. 2 At the same time, oxygen significantly increases the risk of burns for patients; 3 it is costly to the patient; 4 and it is a burden that the patient literally has to carry that impairs their ability to socialize. 4 Other well-publicized examples of low-value care include hormone replacement therapy to prevent cardiovascular events among perimenopausal women; 5 antibiotics to treat viral upper-respiratory infections; and diagnostic imaging for simple lower-back pain.…”

Section: Equity Underuse and Overusementioning

confidence: 99%

“…2 At the same time, oxygen significantly increases the risk of burns for patients; 3 it is costly to the patient; 4 and it is a burden that the patient literally has to carry that impairs their ability to socialize. 4 Other well-publicized examples of low-value care include hormone replacement therapy to prevent cardiovascular events among perimenopausal women; 5 antibiotics to treat viral upper-respiratory infections; and diagnostic imaging for simple lower-back pain. 6 In each of these examples, research evidence demonstrates that care provides no benefits or potential ben-efits are outweighed by known harms.…”

Section: Equity Underuse and Overusementioning

confidence: 99%

Promoting Health Equity through De-Implementation Research

et al. 2019

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Ensuring equitable access to quality health care historically has focused on gaps in care, where patients fail to receive the high-value care that will benefit them, something termed underuse. But providing high-quality health care sometimes requires reducing low-value care that delivers no benefit or where known harms outweigh expected benefits. These situations represent health care overuse. The process involved in reducing low-value care is known as de-implementation. In this article, we argue that de-implementation is critical for advancing equity for several reasons. First, medical overuse is associated with patient race, ethnicity, and socioeconomic status. In some cases, the result is even double jeopardy, where racial and ethnic minorities are at higher risk of both overuse and underuse. In these cases, more traditional efforts focused exclusively on underuse ignore half of the problem. Second, overuse of preventive care and screening is often greater for more socioeconomically advantaged patients. Within insured populations, this means more socioeconomically disadvantaged patients subsidize overuse. Finally, racial and ethnic minorities may have different experiences of overuse than Whites in the United States. This may make efforts to de-implement overuse particularly fraught. We therefore provide several actions for closing current research gaps, including: adding subgroup analyses in studies of medical overuse; specifying and measuring potential mechanisms related to equity (eg, double jeopardy vs thermostat models of overuse); and testing de-implementation strategies that may mitigate bias.Ethn Dis. 2019;29(Suppl 1):93-96; doi:10.18865/ed.29.S1.93.

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“…As indicated by the results of the present study, there was a significant association 007). It was observed that right lower abdominal pain was the most frequent presentation among the patients with different marital status, followed by epigastric pain Table (13).…”

Section: Resultsmentioning

confidence: 99%

Incidence of Readmission in Patients in Sulaimani Emergency Hospital

Faraj¹,

Ali²

2019

DJM

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Background:Readmission after hospitalization is a preventable experience which can impose huge costs on the patients and the health care systems. Studies have reported that readmission of patients within 30 days following discharge is quite common and associated with some clinical and nonclinical factors. Mental and behavioral health issues, alco holrelated disorders, pregnancy, diabetes, schizophrenia, and mood disorders have been reported as the commonest conditions that can cause readmission. Research has also stated that patient readmission can show low quality of health care services. Objective: To assess the incidence of patients who had been readmitted to emergency room in Sulaimani Emergency Hospital during three consecutive months. Patients and Methods:The present prospective study which was carried out on 126 readmitted patients who were selected from 3264 patients who had referred to Sulaimani Accident & Emergency Hospital in Kurdistan Region of Iraq from (1st. Jun 2018) to (31st.Aug. 2018). A researcher-designed checklist was used to collect the required data. The collected data were analyzed through descriptive statistics using Statistical Package for Social Sciences version 22.0, and the results were presented as frequencies and percentages in tables. Results: The results of the present study revealed that the hospital readmission rate was lower among the patients older than 50 years. Also, female patients accounted for a larger population of readmitted patients than the males. There was no significant association found between gender and readmission. Epigastric and abdominal pains were the most frequent symptoms and presentations observed at readmission. In addition, associated medical diseases and surgical procedures were found to have outstanding effect on readmission. The most common detected disorders among the readmitted patients were suspected acute appendicitis and acute pancreatitis. In addition the type of medical intervention was found to have a remarkable effect on the rate of readmission. A significant relationship was observed between the observed clinical presentations and the readmitted patients' age, occupation, and marital status. Also, the readmitted patients' past surgical history and their age, gender, occupation, and marital status were significantly correlated. Conclusion: Hospital readmission was found to be common among patients who had associated medical diseases, surgical procedures, suspected acute appendicitis, and acute pancreatitis; therefore, such patients need to be provided with more careful care and proper

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Patient-perceived treatment burden of chronic obstructive pulmonary disease

Cited by 36 publications

References 27 publications

Treatment burden should be included in clinical practice guidelines

Treatment burden should be included in clinical practice guidelines

Promoting Health Equity through De-Implementation Research

Incidence of Readmission in Patients in Sulaimani Emergency Hospital

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