Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery
Open accessAbstract
Introduction: The COVID-19 pandemic has impacted specialty chronic obstructive pulmonary disease (COPD) care. We examined the degree to which care has moved to remote approaches, eliciting clinician and patient perspectives on what is appropriate for ongoing remote delivery. Methods: Using an online research platform, we conducted a survey and consensus-building process involving clinicians and patients with COPD. Results: Fifty-five clinicians and 19 patients responded. The majority of clinicians felt able to assess symptom severity (n=52, 95%), reinforce smoking cessation (n=46, 84%) and signpost to other healthcare resources (n=44, 80%). Patients reported that assessing COPD severity and starting new medications were being addressed through remote care. Forty-three and 31 respondents participated in the first and second consensus-building rounds, respectively. When asked to rate the appropriateness of using remote delivery for specific care activities, respondents reached consensus on 5 of 14 items: collecting information about COPD and overall health status (77%), providing COPD education and developing a self-management plan (74%), reinforcing smoking cessation (81%), deciding whether patients should seek in-person care (72%) and initiating a rescue pack (76%). Conclusion: Adoption of remote care delivery appears high, with many care activities partially or completely delivered remotely. Our work identifies strengths and limitations of remote care delivery.
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Opportunities were considered and offered to overcome some problems through telemedicine and new measurements.
“Therefore, opportunities were considered and offered to overcome some of these problems through telemedicine [23] and new measurements [24–29].”
From Life Experiences in Neuromuscular Tracheotomized Patients in Times of Covid-19 (2023) · cites this paper as [27]
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Puthumana, R. M., Grosgogeat, C. A., Davis, J. K., English, L. V. B., Patel, S. S., Ferreira, T., Parekh, D. J., Gershengorn, H. B., & Koch, A. L. (2024) · Figshare · doi:10.6084/m9.figshare.25980581
- Authors
- Wu, F., Burt, J., Chowdhury, T., Fitzpatrick, R., Martin, G., van der Scheer, J. W., & Hurst, J. R.
- Affiliations
- University of Cambridge (GB)
- Royal College of Physicians (GB)
- Nuffield Department of Population Health, University of Oxford, Oxford, Oxfordshire, UK
- The Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, Cambridgeshire, UK
- University College London (GB)
- Corresponding author
- Hurst, John R
- Venue
- BMJ Open Respiratory Research
- Publisher
- BMJ
- Published
- 2021-01
- Volume
- 8
- Issue
- 1
- Pages
- e000817
- ISSN
- 2052-4439 (ISSN-L)
- PMC
- PMC7797238
- OpenAlex
- W3119103658
- Cited by
- 45
- References
- 19
- Citations by year
- 2025: 3 · 2024: 7 · 2023: 14 · 2022: 10 · 2021: 11
- FWCI
- 9.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open Respiratory Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Apollo (University of Cambridge) (submittedVersion, cc-by-nc)
- Apollo
- Funders
- The Health Foundation
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- chronic obstructive pulmonary disease, COVID-19 pandemic, remote care, telemedicine, clinician perspectives, patient perspectives, smoking cessation, COPD self-management, COPD education, symptom severity assessment, rescue medication, consensus building
- MeSH terms
- Self-Management, COVID-19, SARS-CoV-2, Adult, Aged, Attitude of Health Personnel, Attitude to Health, Delivery of Health Care, Female, United Kingdom, Humans, Male, Middle Aged, Nurses, Patient Acceptance of Health Care, Patient Education as Topic, Practice Patterns, Physicians', Physicians, Surveys and Questionnaires, Severity of Illness Index, Smoking Cessation, Telemedicine, Pulmonary Disease, Chronic Obstructive, Practice Patterns, Nurses', Physical Therapists
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