Bhutani, Mohit;
Price, David B;
Winders, Tonya A;
Worth, Heinrich;
Gruffydd-Jones, Kevin;
Tal-Singer, Ruth;
Correia-de-Sousa, Jaime;
... Hurst, John R; + view all
(2022)
Quality Standard Position Statements for Health System Policy Changes in Diagnosis and Management of COPD: A Global Perspective.
Advances in Therapy
10.1007/s12325-022-02137-x.
(In press).
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Abstract
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.
Type: | Article |
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Title: | Quality Standard Position Statements for Health System Policy Changes in Diagnosis and Management of COPD: A Global Perspective |
Location: | United States |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1007/s12325-022-02137-x |
Publisher version: | https://doi.org/10.1007/s12325-022-02137-x |
Language: | English |
Additional information: | © 2022 Springer Nature Switzerland AG. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/). |
Keywords: | COPD, Global quality standard position statements, Management, Policy |
UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Respiratory Medicine UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine |
URI: | https://discovery.ucl.ac.uk/id/eprint/10147918 |
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