Barriers to care and needs of patients with COPD
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BARRIERS TO CARE AND NEEDS OF PATIENTS WITH COPD Bart Thoonen MD,PhD Radboud University Nijmegen Dept of General Practice On behalf of WONCA
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Barriers to care and needs of patients with COPD. Bart Thoonen MD,PhD Radboud University Nijmegen Dept of General Practice On behalf of WONCA. Who is in charge of your COPD?. Caregivers are not the only ones responsible for treating your COPD. - PowerPoint PPT Presentation
Transcript of Barriers to care and needs of patients with COPD
BARRIERS TO CARE AND NEEDS OF PATIENTS WITH COPD
Bart Thoonen MD,PhDRadboud University Nijmegen
Dept of General PracticeOn behalf of WONCA
Who is in charge of your COPD?
• Caregivers are not the only ones responsible for treating your COPD.
• It is most important for you as a patiënt to learn how to slow down the progression of COPD yourself and how to deal with your COPD.
Needs of patients?
COPD is disabling disease
From ‘Confronting COPD’
www.astmafonds.nl
The role of health professionals
Green Lanier D, Dovey SMLA, Fryer GE Jr, Yawn BP, The ecology of medical care revisited.N Engl J Med. 2001 Jun 28;344(26):2021-5.
Who’s in charge of your COPD?
• Patient
• Physician
• Self management
• Shared responsabilities
Self management - definition
• Patients explicitly make informed decisions on how to deal with COPD
• Physician should challenge patient
• To become more independant
• To explore own possibilities and limitations
• To take control
Self management – what is needed
outcomesbehaviourSelf efficacy
Skills
Knowledge
Earlier experience
PracticeFeedback
Earlier experience
PracticeFeedback
Proper actions
Integration in daily life
Proper actions
Integration in daily life
Improve QOLReduce
complications
Improve QOLReduce
complications
Self-management
Knowledge and skills
• Patients need to know and accept they have COPD
• Ability to monitor disease
• Ability to take proper action
The role of primary care
• Early diagnosis
• Continuity of care
outcomesbehaviourSelf efficacy
Skills
Knowledge
Earlier experience
PracticeFeedback
Earlier experience
PracticeFeedback
Proper actions
Integration in daily life
Proper actions
Integration in daily life
Improve QOLReduce
complications
Improve QOLReduce
complications
Self-management
Who is in charge of your COPD?
