Anna Moore, Hannah Hylton, Alex Long, Catherine Taylor, Patricia Pennington, Irem Patel
{"title":"Best practice in COPD care: a health equity approach.","authors":"Anna Moore, Hannah Hylton, Alex Long, Catherine Taylor, Patricia Pennington, Irem Patel","doi":"10.1136/dtb.2023.000067","DOIUrl":null,"url":null,"abstract":"<p><p>There is a strong evidence base for the best care in chronic obstructive pulmonary disease (COPD) as outlined by the National Institute for Health and Care Excellence in its five fundamentals of COPD care: offer treatment and support to stop smoking; offer pneumococcal and influenza vaccinations; offer pulmonary rehabilitation if indicated; codevelop a personalised self-management plan; and optimise treatment for comorbidities. However, only a minority of those living with COPD receive or engage with all five interventions, with clear implications for outcomes. Further, barriers which prevent people who live with COPD accessing necessary care are unequally experienced. In order to overcome many of these barriers, clinicians caring for people with COPD must prioritise personalised treatment and continuity of care.</p>","PeriodicalId":11277,"journal":{"name":"Drug and Therapeutics Bulletin","volume":"62 11","pages":"165-172"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Drug and Therapeutics Bulletin","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/dtb.2023.000067","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
There is a strong evidence base for the best care in chronic obstructive pulmonary disease (COPD) as outlined by the National Institute for Health and Care Excellence in its five fundamentals of COPD care: offer treatment and support to stop smoking; offer pneumococcal and influenza vaccinations; offer pulmonary rehabilitation if indicated; codevelop a personalised self-management plan; and optimise treatment for comorbidities. However, only a minority of those living with COPD receive or engage with all five interventions, with clear implications for outcomes. Further, barriers which prevent people who live with COPD accessing necessary care are unequally experienced. In order to overcome many of these barriers, clinicians caring for people with COPD must prioritise personalised treatment and continuity of care.
美国国家健康与护理卓越研究所(National Institute for Health and Care Excellence)在其慢性阻塞性肺疾病(COPD)护理的五项基本原则中概述了慢性阻塞性肺疾病(COPD)的最佳护理方法,并提出了强有力的证据基础:提供戒烟治疗和支持;提供肺炎球菌疫苗和流感疫苗接种;在有指征的情况下提供肺康复治疗;制定个性化的自我管理计划;以及优化合并症的治疗。然而,只有少数慢性阻塞性肺病患者接受或参与了所有五项干预措施,这对治疗效果有着明显的影响。此外,阻碍慢性阻塞性肺病患者获得必要护理的障碍也不尽相同。为了克服这些障碍,护理慢性阻塞性肺病患者的临床医生必须优先考虑个性化治疗和持续护理。