Quality assessment of the diagnosis and treatment of chronic obstructive pulmonary disease- holistic approach
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Introduction: Chronic obstructive pulmonary disease (COPD) is an irreversible decline in the lung function often caused by smoking. COPD is incurable but the available pharmacological treatment options provide symptom relief, help prevent exacerbations and treat possible complications. The non-pharmacological interventions in the form of increased physical activity and smoking cessation constitute the foundation for the management of the disease. The societal costs for the support and treatment of COPD patients are estimated at 9 billion per year. By following the national guidelines for the diagnosis and management, less economical costs and an evenly distributed quality of care can be achieved. Aim: The aim of this paper is to assess the prescriber’s adherence to diagnostic and treatment national guidelines in order to evaluate the quality of care for COPD patients. Method: Five healthcare centers in the Uppsala County were included with a total of 185 patients. Two computer-based medical systems were used to gather the information, Cosmic and Welch Allyn. The journals were searched to identify parameters to help assess how sufficiently the guidelines were being followed by the prescribers. The main focus of the medical record search was the latest spirometry data and the current medications. Results: The main finding of this study is that only 40% of the patients receive optimal treatment and were diagnosed correctly according to the national guidelines. The current study also shows that 13% of the patients have a false positive diagnosis with a ratio (FEV1/FVC) higher than 0.7. The current smokers constitute 31 % of the patient sample. Conclusion: The results of this study show an inadequate adherence to the national guidelines. Therefore, it is important to raise the awareness and improve the cooperation amongst the prescribers.
Place, publisher, year, edition, pages
2014. , 19 p.
IdentifiersURN: urn:nbn:se:uu:diva-242060OAI: oai:DiVA.org:uu-242060DiVA: diva2:782183
Subject / course
Master of Science Programme in Pharmacy