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Table 5 Implementation forms

From: Audit on the appropriateness of integrated COPD management: the “ALT-BPCO” project

METHOD USED BY THE CENTERS FOR ASSESSMENT OF BRONCHIAL OBSTRUCTION (First phase/ second phase )
  FIXED RATIO FEV1/FVC N^ 25 Centers (86,2%)/25 Centers (86,2%)
  LOWER LIMIT OF NORMALITY (LLN) 4 Centers (13,8%)/4 Centers (13,8%)
CENTERS THAT HAD RECENTLY (<1 YEAR AGO) AT LEAST ONE EXCHANGE WITH GPs ON METHOD FOR CLASSIFYING RESPIRATORY SYMPTOMS
  YES 23 Centers (79,3%)/25 Centers (86,21%)
  NO 6 Centers (20,7%)/4 Centers (13,79%)
CENTERS THAT RETAIN THE APPLICATION POSSIBLE, THROUGH THEIR LOCAL GPs, OF A SCREENING QUESTIONNAIRE FOR COPD SYMPTOMS
  YES 28 Centers (96,6%)/29 Centers (100%)
  NO 1 Center (3,4%)/0 Centers (0%)
CENTERS AWARE ABOUT THE NHI REPSIRATORY RISK CARDS
  YES 26 Centers (89,7%)/28 Centers (96,55%)
  NO 3 Centers (10,3%)/1 Center (3,45%)
CENTERS THAT CONSIDER THE NHI RISK CARDS APPLICABLE BY THEIR LOCAL GPs
  YES 22 Centers (75,9%)/22 Centers (75,9%)
  NO 7 Centers (24,1%)/7 Centers (24,1%)
CENTERS THAT PROVIDE, DIRECTLY OR THROUGH A DEDICATED SERVICE, THEIR COPD SMOKER PATIENTS WITH BEHAVIORAL-PHARMACOLOGICAL SMOKING CESSATION TREATMENT
  YES 21 Centers (72,4%)/21 Centers (72,4%)
  NO 8 Centers (27,6%)/8 Centers (27,6%)
METHOD USED BY THE CENTERS FOR PRESCRIBING HOME LONG-TERM OXYGEN THERAPY
  PRESCRIPTION BY A SPECIALIST OR CONFIRMED BY A SPECIALIST IF MADE BY A NON PNEUMOLOGIST 20 Centers (69,0%)
  OTHER (THE ONLY PRESCRIBING CENTERS IN THE HOSPITAL SYSTEM) 9 Centers (31,0%)
  ANYONE CAN PRESCRIBE O2 WITHOUT NEED FOR CONFIRMATION BY A PNEUMOLOGIST 0 Centers (0%)
(N.B. IN THE SECOND PHASE THE RESPONSE OPTIONS WERE DIFFERENT)
  PRESCRIPTION BY A SPECIALIST OR SPECIALIST CONFIRMATION NEEDED IF PRESCRIPTION MADE BY A NON PNEUMOLOGIST PHYSICIAN 20 Centers (69,0%)
  ONLY THROUGH PRESCRIPTION BY A SPECIALIST 1 Center (3,44%)
  ONLY THROUGH PRESCRIPTION BY A HOSPITAL-BASED PNEUMOLOGIST 1 Center (3,44%)
  NO RESPONSE 1 Center (3,44%)
  OTHER 6 Centers (20,68%)
CENTERS THAT PERIODICALLY CHECK THE OXYGEN FLOW PRESCRIBED AND IF THERE IS STILL NEED FOR LTOT
  YES 27 Centers (93,1%)/27 Centers (93,1%)
  NO 2 Centers (6,9%)/2 Centers (6,9%)
CENTERS THAT ARE EQUIPPED TO PROVIDE, DIRECTLY OR BY MEANS OF A DEDICATED SERVICE, PULMONARY REHABILITATION TREATMENT TO THEIR COPD PATIENTS
  YES 13 Centers (44,8%)/17 Centers (58,62%)
  NO 16 Centers (55,2%)/12 Centers (41,37%)
CENTERS THAT ARE EQUIPPED TO TREAT, DIRECTLY OR BY MEANS OF A DEDICATED SERVICE, THEIR COPD PATIENTS IN ACUTE RESPIRATORY FAILURE, THROUGH A:
  UNIT OF INTENSIVE INTERMEDIATE RESPIRATORY CARE 5 Centers (17,2%)/7 Centers (24,13%)
  FOLLOW UP UNIT 9 Centers (31,8%)/2 Centers (6,89%)
  INTENSIVE CARE UNIT 6 Centers (20,7%)/5 Centers (17,24%)
  INTENSIVE CARE UNIT + UNIT OF INTENSIVE INTERMEDIATE RESPIRATORY CARE 1 Center (3,4%)/8 Centers (27,58%)
  NO RESPONSE 8 Centers (27,6%)/7 Centers (24,13%)
IS YOUR CENTER ABLE TO OFFER PATIENTS A COURSE OF EDUCATION ABOUT THE DISEASE?
  YES 13 Centers (44,8%)/14 Centers (48,27%)
  NO 16 Centers (55,2%)/15 Centers (51,72%)
CENTERS ORGANIZED TO CONSULT WITH THE GP REGARDING THE PATIENT’S DISCHARGE FROM HOSPITAL
  YES   7 (24,1%)/8 Centers (27,58%)
  NO   22 (75,9%)/21 Centers (72,41%)
CENTERS EQUIPPED WITH A HOME CARE SERVICE
  NO SERVICE AVAILABLE 12 Centers (41,4%)/16 Centers (55,17%)
  SAME FOR ALL CHRONIC PATIENTS IN HOME CARE WITH DISTRICT NURSES 17 Centers (58,6%)/12 Centers (41,37%)
  SPECIALIZED FOR CHRONIC RESPIRATORY FAILURE PATIENTS 0 Centers (0%)/1 Center (3,44%)
CENTERS EQUIPPED WITH A TELE-ASSISTANCE SERVICE
  YES 0 Centers (0%)/0 Centers (0%)
  NO 29 Centers (100%)/29 Centers (100%)