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慢性阻塞性肺疾病的初级保健管理:一种综合目标导向的方法。

Primary care management of chronic obstructive pulmonary disease: an integrated goal-directed approach.

机构信息

Division of Pulmonary and Critical Care Medicine, The Alpert Medical School of Brown University, Providence, Rhode Island 02903, USA.

出版信息

Curr Opin Pulm Med. 2010 Mar;16(2):83-8. doi: 10.1097/MCP.0b013e3283354981.

Abstract

PURPOSE OF REVIEW

This review discusses the role of the primary care physician in the care of the patient with chronic obstructive pulmonary disease and considers how an integrated chronic care model can be applied.

RECENT FINDINGS

Evidence suggests that a multidisciplinary approach can be successfully applied to a chronic obstructive pulmonary disease patient. These interventions can lead to improvement in quality of life and reduced healthcare utilization.

SUMMARY

An integrated care program for chronic obstructive pulmonary disease to assist the primary care provider should include the elements of the chronic care model. The support of a community-based outreach nurse, allied health staff, rehabilitation services and a case manager can assure best practices and identify gaps in quality care.

摘要

目的综述

本文讨论了初级保健医生在慢性阻塞性肺疾病患者护理中的作用,并考虑了如何应用综合慢性护理模式。

最近的发现

有证据表明,多学科方法可以成功应用于慢性阻塞性肺疾病患者。这些干预措施可以提高生活质量,减少医疗保健的利用。

总结

慢性阻塞性肺疾病的综合护理计划应包括慢性病护理模式的要素,以协助初级保健提供者。社区外展护士、辅助卫生人员、康复服务和个案经理的支持可以确保最佳实践,并发现质量护理中的差距。

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