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%) | ||