ArticleInternational journal of chronic obstructive pulmonary disease2016
COPD care delivery pathways in five European Union countries: mapping and health care professionals' perceptions.
Article in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review.The Cochrane database of systematic reviews · 2021Pooled it
- The economic burden of chronic obstructive pulmonary disease (COPD) in Europe: results from a systematic review of the literature.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Pooled it
- Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals.NPJ primary care respiratory medicine · 2018Pooled it
- C-reactive protein point-of-care testing for safely reducing antibiotics for acute exacerbations of chronic obstructive pulmonary disease: the PACE RCT.Health technology assessment (Winchester, England) · 2020Trial
- Effect of telemonitoring on quality of life for patients with chronic obstructive pulmonary disease-A randomized controlled trial.Chronic respiratory diseaseTrial
- Developing an interprofessional collaboration for COPD patients in primary care: a participatory action research approach.NPJ primary care respiratory medicine · 2025Article
- Single-Inhaler Triple Therapy in Primary Care Across Europe: Expert Panel Consensus on the Consequences of Payer-Driven Access Rules and Call to Action.International journal of chronic obstructive pulmonary disease · 2025Review
- Whole-course management of chronic obstructive pulmonary disease in primary healthcare: an internet of things-enabled prospective cohort study in China.BMJ open respiratory research · 2024Observational
- Mapping the Common Barriers to Optimal COPD Care in High and Middle-Income Countries: Qualitative Perspectives from Clinicians.International journal of chronic obstructive pulmonary disease · 2024Article
- Does uptake of specialty care affect HRQoL development in COPD patients beneficially? A difference-in-difference analysis linking claims and survey data.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Mapping inpatient care pathways for patients with COPD: an observational study using routinely collected electronic hospital record data.ERJ open research · 2023Article
- Are We Missing the Opportunity to Disseminate GOLD Recommendations Through AECOPD Discharge Letters?International journal of chronic obstructive pulmonary disease · 2023Article
- Qualitative Validation of COPD Evidenced Care Pathways in Japan, Canada, England, and Germany: Common Barriers to Optimal COPD Care.International journal of chronic obstructive pulmonary disease · 2022Article
- Effect of internet-based self-management on pulmonary function rehabilitation and living quality in patients with chronic obstructive pulmonary disease.American journal of translational research · 2021Article
- Quality Assessment of an Integrated Care Pathway Using Telemonitoring in Patients with Chronic Heart Failure and Chronic Obstructive Pulmonary Disease: Protocol for a Quasi-Experimental Study.JMIR research protocols · 2020Article
- Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care.BMC health services research · 2020Article
- Challenges and opportunities for telehealth in the management of chronic obstructive pulmonary disease: a qualitative case study in Greece.BMC medical informatics and decision making · 2020Article
- Improving continuity of care of patients with respiratory disease at hospital discharge.Breathe (Sheffield, England) · 2020Article
- Using and implementing care bundles for patients with acute admission for COPD: qualitative study of healthcare professionals' experience in four hospitals in England.BMJ open respiratory research · 2020Observational
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Corrections and comments
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Authors and funding
19 authors at 9 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOPD is among the leading causes of chronic morbidity and mortality in the European Union with an estimated annual economic burden of €25.1 billion. Various care pathways for COPD exist across Europe leading to different responses to similar problems. Determining these differences and the similarities may improve health and the functioning of health services.
objectiveThe aim of this study was to compare COPD patients' care pathway in five European Union countries including England, Ireland, the Netherlands, Greece, and Germany and to explore health care professionals' (HCPs) perceptions about the current pathways.
methodsHCPs were interviewed in two stages using a qualitative, semistructured email interview and a face-to-face semistructured interview.
resultsLack of communication among different health care providers managing COPD and comorbidities was a common feature of the studied care pathways. General practitioners/family doctors are responsible for liaising between different teams/services, except in Greece where this is done through pulmonologists. Ireland and the UK are the only countries with services for patients at home to shorten unnecessary hospital stay. HCPs emphasized lack of communication, limited resources, and poor patient engagement as issues in the current pathways. Furthermore, no specified role exists for pharmacists and informal carers.
conclusionService and professional integration between care settings using a unified system targeting COPD and comorbidities is a priority. Better communication between health care providers, establishing a clear role for informal carers, and enhancing patients' engagement could optimize current care pathways resulting in a better integrated system.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.