P65– Improving the quality of care of COPD patients in an internal medicine residency group by implementing the American Thoracic Society Guidelines

Abstract

A database was constructed that facilitated the development of multiple interfaces for varying professionals. Content management is streamlined from a centralized location, also ensuring consistency of guidelines between medical practitioners and case managers and claims adjustors. DISCUSSION (CONCLUSION): This study demonstrates that delivery of treatment guideline recommendations in a decision support system is an effective dissemination strategy that can be tailored to the needs of users not necessarily trained in the interpretation and use of medical evidence. Combining this with an interface for physicians provides a mechanism that can improve the alignment between physician clinical decision-making and that of insurance professionals. TARGET AUDIENCE(S): 1. Guideline developer 2. Guideline implementer 3. Developer of guideline-based products 4. Health care policy analyst/policy-maker 5. Health insurance payers and purchasers

Rate of, and barriers and enablers to, pulmonary rehabilitation referral in COPD: A systematic scoping review

“…Thirty-five studies reported on referral rates [3,7,; 28 of these were observational studies [3,7,[12][13][14][16][17][18][19][20][21][22][23][25][26][27][28][29][30][31][34][35][36][37][40][41][42]44], while the remaining seven assessed the effect of an intervention on COPD care (and measured referral rates at baseline and post-intervention) [15,24,32,33,38,39,43]. Nine studies reported on HCP perceived barriers to PR referral [23,26,[45][46][47][48][49][50][51], and seven of these also reported on enablers [23,26,45,…”

“…83% (n = 35) of included articles reported a referral rate to PR. In the observational studies (n = 28), referral rate ranged from 0% to 85% [3,7,[12][13][14][16][17][18][19][20][21][22][23][25][26][27][28][29][30][31][34][35][36][37][40][41][42]44] with a median referral rate of 17% (see Fig. 2).…”