Developing a Multidisciplinary Approach to the COPD Care Pathway.

Crit Care Nurs Q

Division of Pulmonary Critical Care Medicine (Drs Young, Villgran, Schmetzer, and Cheema) and Medicine Institute (Dr Ledgerwood), Allegheny Health Network, Allegheny General Hospital, Pittsburgh, Pennsylvania.

Published: August 2021

Chronic obstructive pulmonary disease (COPD) is characterized as a predominately preventable and treatable inflammatory lung disease caused by progressive obstructed airflow from the lungs. In the United States and worldwide, it is becoming a major cause in hospital admissions as well as an increase in morbidity and mortality. The rising total cost of care for COPD is concerning for all health care industries. The disease has significant impact on the patient's quality of life and psychological well-being. A worldwide initiative is underway in developing a care model that is multifactorial through continuous monitoring of patients to manage and control symptoms, achieve medication adherence, and provide socioeconomic resources. The primary aim of this study was to prevent exacerbations, hospital admissions, and readmissions. Various models have shown positive results; however, the significant financial investment is the major barrier to success. Recently, one health system in the United States was able to improve care, decrease readmissions, and reduce total cost of care by investing in a multidisciplinary team of specialists. In the utilization of the care model, the primary endpoint will conclude that COPD is financially and socioeconomically manageable.

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http://dx.doi.org/10.1097/CNQ.0000000000000345DOI Listing

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