The effect of rehabilitation on health‐care utilisation in <scp>COPD</scp> patients in <scp>C</scp>openhagen

Jacobsen, Ramunė; Rusch, Ea; Andersen, Per Kragh; Adams, John; Jensen, Cecilia Ravn; Frølich, Anne

doi:10.1111/crj.12074

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…This finding is in accordance with (Abedi, Salimi, Feizi, & Safari,, 2013) who found that the majority of the studied patients were married. This finding is in contrast with (Jacobsen, Rusch, Andersen, Adams, Jensen, & Frølich, 2014) who stated that more than two thirds of the patients were single.…”

Section: Raycontrasting

confidence: 77%

Impact of an Educational Program on knowledge and Practice of Patients with Chronic Obstructive Pulmonary Disease

Mohammed

Al-Mezaien

Eid

et al. 2020

Port Said Scientific Journal of Nursing

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Background: Worldwide, chronic obstructive pulmonary disease (COPD) is in the spotlight because of its morbidity, mortality and high prevalence. In Egypt is highlighted as a major public health problem. The aim of the present study was to evaluate the impact of an educational program on knowledge, practice, and self-efficacy of patients with stable chronic obstructive pulmonary disease. Quasi-experimental research design was utilized in this study. The sample was consisted of all available patients with stable COPD during the time of data collection. Four tools were used to collect data: first; Structured interview questionnaire which consisted of sociodemographic characteristics, and medical history. Second; the Bristol COPD Knowledge Questionnaire (BCKQ), third; Observational checklist which consisted of breathing exercises& inhaler use, and fourth; Self-Efficacy Scale for Patients with COPD. The result of the study concluded that there was a highly statistically significant difference in patients' total knowledge and practice pre and post program & pre and follow up program. Concerning total Self Efficacy there was no statistically significant difference between pre and post & pre and follow up scores, but there was a highly statistically significant difference between pre and post program regarding all self-efficacy issues except with weather ∕environment, while there was no statistically significant difference between pre and follow up program in all self-efficacy issues except in negative affect issues. The study concluded that after implementation of the educational program, remarkable improvements were occurred in knowledge, practice, and self-efficacy sub scores. The study recommended Continuous monitoring and evaluation of self-efficacy for patients to enhance disease management through establishing a rehabilitation program for patient to improve their self-efficacy. Promotion and enhancement of the self-care modalities to the patient; a strict written instruction with pictures about disease process, allowed foods , rest and physical activities and follow up should be continued after termination of educational program.

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Section: Raycontrasting

confidence: 77%

Impact of an Educational Program on knowledge and Practice of Patients with Chronic Obstructive Pulmonary Disease

Mohammed

Al-Mezaien

Eid

et al. 2020

Port Said Scientific Journal of Nursing

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“…Furthermore, 63.9% of the respondents had acute hospital admissions because of COPD complications in the previous year. Rehabilitation and self-management education can reduce hospital admissions and number of bed days 1,8. The reported low frequency of offers of pulmonary rehabilitation, COPD self-management education, and GP COPD consultations in this cohort indicates that offers of these health care services are untapped resources for this group, despite being services with the potential to reduce hospital admissions1,8 and improve self-management activation and quality of life for persons living with COPD 9,26…”

Section: Discussionmentioning

confidence: 86%

Self-rated health aspects among persons living with chronic obstructive pulmonary disease

Halding¹,

Grov²

2017

COPD

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PurposeTo describe a cohort of chronic obstructive pulmonary disease (COPD) patients and perform a within-group comparison regarding self-management activation, social provision, and health status.Patients and methodsA cross-sectional survey including 116 persons.ResultsThe sample comprised 65 men and 38 women, mean age 69 years. Fourteen percent reported very high impact of COPD on their health; 19% had received pulmonary rehabilitation offers, 39% had been offered self-management education, and 64% had acute hospital admissions due to COPD complications in the past year. Persons with COPD Assessment Test (CAT) scores ≥30 reported significantly poorer self-management activation and significantly lower social provision than those reporting CAT scores <30. Number of COPD years had no significant influence on COPD health care consultations or self-management activation.ConclusionPersons with COPD reported decreasing social provision with increasing COPD years and poorer health status. Although COPD is a progressive disease, health status and self-management activation did not vary with number of COPD years. Those living with a very high COPD impact on health reported significantly lower self-management activation but fewer acute hospital admissions.Practice implicationsCOPD patients’ need for pulmonary rehabilitation, self-management support, and social support should be assessed and appropriate services offered throughout the disease trajectory.

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“…Each of the three integrated care approaches was subject to a series of evaluations and these have shown evidence of improvements on a number of process and outcome measures, as well as selected utilisation measures. These include significant improvements on a number of intermediate outcomes such as glycaemic control, blood pressure, or body weight among patients with diabetes 21 and significantly smaller increases in the number of hospital admissions, bed days, and outpatient visits over a two year period among people with COPD in the SIKS project 22 ; improvements in process measures such as guideline adherence, measures of health care utilisation, health outcomes such as a reduction in the prevalence of fractures sustained by people with osteoporosis, a reduction in the proportion of people requiring long-term care and a reduction in number of potential years of life lost in the intervention group, measures of patient satisfaction, and costs measured as relative cost savings in the Gesundes Kinzigtal 5,23 ; or the cost-effective delivery of integrated diabetes care 24 and clinically relevant improvements among patients with poorly controlled diabetes in the Maastricht programme. 25 However, in addition to the direct impacts on service and patient outcomes, individual care models had important wider impacts.…”

Section: Outcomes and Impactsmentioning

confidence: 99%

Implementing integrated care: A synthesis of experiences in three European countries

Nolte

Frølich

Hildebrandt³

et al. 2016

International Journal of Care Coordination

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Many countries are experimenting with new models to better integrate care; yet, innovative care models are often implemented as time-limited, localised projects with limited impact on service delivery more broadly. This paper seeks to understand the processes behind successful projects that achieved some form of 'routinisation' and informed systemwide integrated care strategies. It draws on detailed case studies of three integrated care experiments: the 'Integrated effort for people living with chronic diseases' project in Denmark; the Gesundes Kinzigtal network in Germany; and Zio, a care group in the Maastricht region in the Netherlands. It explores how they were developed, implemented and sustained, and how they impacted the wider system context. All three models implicitly or explicitly adopted processes shown to be conducive to the dissemination of innovations, including dedicated time and resources, support and advocacy, leadership and management, stakeholder involvement, communication and networks, adaptation to local context and feedback. Each showed robust evidence of improvements on a number of service and patient outcomes and these findings were central to their wider impacts, shaping country-wide integrated care polices. However, the wider dissemination of projects occurred in an incremental and somewhat haphazard way. To further redesign health and social care a more formal strategy, alongside resources, may thus be needed to provide funders and providers with genuine incentives to invest in new business models of care. There remains a crucial need for better understanding of specific local conditions that influence implementation and sustainability to enable translation to other contexts and settings.

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The effect of rehabilitation on health‐care utilisation in COPD patients in Copenhagen

Cited by 8 publications

References 16 publications

Impact of an Educational Program on knowledge and Practice of Patients with Chronic Obstructive Pulmonary Disease

Impact of an Educational Program on knowledge and Practice of Patients with Chronic Obstructive Pulmonary Disease

Self-rated health aspects among persons living with chronic obstructive pulmonary disease

Implementing integrated care: A synthesis of experiences in three European countries

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