Evaluation of the Effect of the “General Practitioner-Specialist” Combination in the Community Management of Chronic Obstructive Pulmonary Disease

Abstract

The research objective of this article is to explore the effectiveness evaluation of the combination of general and specialized departments in the management of chronic obstructive pulmonary disease (COPD) in the community. The research method of this article is as follows:80 patients with COPD in stable stage who signed a family doctor from July to December, 2022 were randomly divided into general management group (control group) and full-time management group (observation group). The general management group implemented the routine chronic disease management mode of general medical follow-up. The full-time management group implements the joint management of chronic obstructive pulmonary disease by general practitioners and specialties. Six months after the implementation of different management modes, the lung function index, dyspnea degree and symptom score, anxiety and depression score, the number of acute attacks and patient satisfaction were compared between the two groups. After 6 months of intervention, there were no lost cases in both groups. The improvement of lung function, dyspnea degree and symptom score, anxiety and depression score and patient satisfaction in the observation group were better than those in the control group, and there was no significant difference in the number of acute attacks between the two groups. The combination of full-time and full-time management of COPD is effective and can be further promoted.