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Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information

Chronic Obstructive Pulmonary Disease (COPD) is a complex disease defined by airflow limitation and characterized by a spectrum of treatable and untreatable pulmonary and extra-pulmonary disease characteristics. Nonpharmacological management related to physical activity, physical capacity, body comp...

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Autores principales: Vanfleteren, Lowie E.G.W., van ‘t Hul, Alex J., Kulbacka-Ortiz, Katarzyna, Andersson, Anders, Ullman, Anders, Ingvar, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290491/
https://www.ncbi.nlm.nih.gov/pubmed/32370150
http://dx.doi.org/10.3390/jcm9051311
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author Vanfleteren, Lowie E.G.W.
van ‘t Hul, Alex J.
Kulbacka-Ortiz, Katarzyna
Andersson, Anders
Ullman, Anders
Ingvar, Martin
author_facet Vanfleteren, Lowie E.G.W.
van ‘t Hul, Alex J.
Kulbacka-Ortiz, Katarzyna
Andersson, Anders
Ullman, Anders
Ingvar, Martin
author_sort Vanfleteren, Lowie E.G.W.
collection PubMed
description Chronic Obstructive Pulmonary Disease (COPD) is a complex disease defined by airflow limitation and characterized by a spectrum of treatable and untreatable pulmonary and extra-pulmonary disease characteristics. Nonpharmacological management related to physical activity, physical capacity, body composition, breathing and energy-saving techniques, coping strategies, and self-management is as important as its pharmacological management. Most patients with COPD carry other chronic diagnoses and this poses a key challenge, as it lowers the quality of life, increases mortality, and impacts healthcare consumption. A personalized, multi-, and interprofessional approach is key. Today, healthcare is poorly organized to meet this complexity with the isolation between care levels, logic silos of the different healthcare professions, and lack of continuity of care along the patient’s journey with the healthcare system. In order to meet the criteria for integrated, personalized care for COPD, the structural capabilities of healthcare to support a comprehensive approach and continuity of care needs improvement. COPD is preeminently a disease that requires a transition from a reactive single-specialty approach to a proactive interprofessional approach. In this study, we discuss the issues that need to be addressed when moving from current health care practice to a person-centered model where the care processes and information are aligned to the individual personal needs of the patient.
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spelling pubmed-72904912020-06-17 Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information Vanfleteren, Lowie E.G.W. van ‘t Hul, Alex J. Kulbacka-Ortiz, Katarzyna Andersson, Anders Ullman, Anders Ingvar, Martin J Clin Med Review Chronic Obstructive Pulmonary Disease (COPD) is a complex disease defined by airflow limitation and characterized by a spectrum of treatable and untreatable pulmonary and extra-pulmonary disease characteristics. Nonpharmacological management related to physical activity, physical capacity, body composition, breathing and energy-saving techniques, coping strategies, and self-management is as important as its pharmacological management. Most patients with COPD carry other chronic diagnoses and this poses a key challenge, as it lowers the quality of life, increases mortality, and impacts healthcare consumption. A personalized, multi-, and interprofessional approach is key. Today, healthcare is poorly organized to meet this complexity with the isolation between care levels, logic silos of the different healthcare professions, and lack of continuity of care along the patient’s journey with the healthcare system. In order to meet the criteria for integrated, personalized care for COPD, the structural capabilities of healthcare to support a comprehensive approach and continuity of care needs improvement. COPD is preeminently a disease that requires a transition from a reactive single-specialty approach to a proactive interprofessional approach. In this study, we discuss the issues that need to be addressed when moving from current health care practice to a person-centered model where the care processes and information are aligned to the individual personal needs of the patient. MDPI 2020-05-02 /pmc/articles/PMC7290491/ /pubmed/32370150 http://dx.doi.org/10.3390/jcm9051311 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Vanfleteren, Lowie E.G.W.
van ‘t Hul, Alex J.
Kulbacka-Ortiz, Katarzyna
Andersson, Anders
Ullman, Anders
Ingvar, Martin
Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information
title Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information
title_full Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information
title_fullStr Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information
title_full_unstemmed Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information
title_short Challenges to the Application of Integrated, Personalized Care for Patients with COPD—A Vision for the Role of Clinical Information
title_sort challenges to the application of integrated, personalized care for patients with copd—a vision for the role of clinical information
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290491/
https://www.ncbi.nlm.nih.gov/pubmed/32370150
http://dx.doi.org/10.3390/jcm9051311
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