Action plans for COPD: strategies to manage exacerbations and improve outcomes.
Int J Chron Obstruct Pulmon Dis
; 11: 1179-88, 2016.
Article
em En
| MEDLINE
| ID: mdl-27330286
ABSTRACT
COPD is the third-largest killer in the world, and certainly takes a toll on the health care system. Recurrent COPD exacerbations accelerate lung-function decline, worsen mortality, and consume over US$50 billion in health care spending annually. This has led to a tide of payment reforms eliciting interest in strategies reducing preventable COPD exacerbations. In this review, we analyze and discuss the evidence for COPD action plan-based self-management strategies. Although action plans may provide stabilization of acute symptomatology, there are several limitations. These include patient-centered attributes, such as comprehension and adherence, and nonadherence of health care providers to established guidelines. While no single intervention can be expected independently to translate into improved outcomes, structured together within a comprehensive integrated disease-management program, they may provide a robust paradigm.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Autocuidado
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Prestação Integrada de Cuidados de Saúde
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Gerenciamento Clínico
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Doença Pulmonar Obstrutiva Crônica
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Pulmão
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article