ArticleJournal of general internal medicine2026
Perceived Access, Perceived Need for Treatment, and the Decision to Seek Care for COPD Exacerbations.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
9 authors.
Funding
Abstract
backgroundPatients often delay care for COPD exacerbations, delaying recovery and increasing the risk of emergency visits.
objectiveThis study examined the relative importance of access to care and perception of need for care in the decision to seek care for COPD exacerbations.
designA 1-year prospective cohort study.
participantsA total of 410 patients with COPD in the Department of Veterans Affairs (VA). MAIN MEASURES: Participants completed baseline spirometry and questionnaires regarding social support, comorbidity, cognition, psychological symptoms, perceived access to care, and perceived need for care. Participants were contacted every 2 weeks to identify exacerbations, and information was collected regarding symptoms, care seeking, and health care utilization. For each exacerbation, participants completed the Response to Symptoms Questionnaire regarding emotional and cognitive responses to the exacerbations. A shared-frailty survival model was used to estimate the correlates of time to seeking care. KEY
resultsThere were 1094 exacerbations among 356 participants; mean age of these patients was 69.4 (SD 7.4), 4.2% were women, and mean FEV
conclusionsIn the VA, patients' perceived need for care was an important determinant of care seeking for COPD exacerbations. Understanding and addressing the emotional and cognitive responses to worsening breathing symptoms may help inform programs for prompt and appropriate treatment of COPD exacerbations.
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