COPD management as a model for all chronic respiratory conditions: report of the 4th Consensus Conference in Respiratory Medicine

Background Non-communicable diseases (NCDs) kill 40 million people each year. The management of chronic respiratory NCDs such as chronic obstructive pulmonary disease (COPD) is particularly critical in Italy, where they are widespread and represent a heavy burden on healthcare resources. It is thus...

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Veröffentlicht in:Multidisciplinary respiratory medicine Jg. 12; H. 1; S. 28 - 9
Hauptverfasser: Nardini, Stefano, De Benedetto, Fernando, Sanguinetti, Claudio M., Bellofiore, Salvatore, Carlone, Stefano, Privitera, Salvatore, Sagliocca, Luciano, Tupputi, Emmanuele
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 10.11.2017
BioMed Central Ltd
Mattioli 1885
Schlagworte:
Chronic obstructive pulmonary disease
Critical Care Medicine
Intensive
Lung diseases, Obstructive
Medical care
Medicine
Medicine & Public Health
Organization
Original
Original Research Article
Physicians (General practice)
Pneumology/Respiratory System
Quality management
Responsibilities
Sustainability
Thoracic Surgery
Training
Training
Responsibilities
Chronic obstructive pulmonary disease
Organization
Sustainability
ISSN:2049-6958, 1828-695X, 2049-6958
Online-Zugang:Volltext
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Zusammenfassung:Background Non-communicable diseases (NCDs) kill 40 million people each year. The management of chronic respiratory NCDs such as chronic obstructive pulmonary disease (COPD) is particularly critical in Italy, where they are widespread and represent a heavy burden on healthcare resources. It is thus important to redefine the role and responsibility of respiratory specialists and their scientific societies, together with that of the whole healthcare system, in order to create a sustainable management of COPD, which could become a model for other chronic respiratory conditions. Methods These issues were divided into four main topics (Training, Organization, Responsibilities, and Sustainability) and discussed at a Consensus Conference promoted by the Research Center of the Italian Respiratory Society held in Rome, Italy, 3–4 November 2016. Results and conclusions Regarding training, important inadequacies emerged regarding specialist training - both the duration of practical training courses and teaching about chronic diseases like COPD. A better integration between university and teaching hospitals would improve the quality of specialization. A better organizational integration between hospital and specialists/general practitioners (GPs) in the local community is essential to improve the diagnostic and therapeutic pathways for chronic respiratory patients. Improving the care pathways is the joint responsibility of respiratory specialists, GPs, patients and their caregivers, and the healthcare system. The sustainability of the entire system depends on a better organization of the diagnostic-therapeutic pathways, in which also other stakeholders such as pharmacists and pharmaceutical companies can play an important role.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:2049-6958
1828-695X
2049-6958
DOI:10.1186/s40248-017-0109-0