Willard Kristen S, Sullivan Jamie B, Thomashow Byron M, Jones Catherine S, Fromer Leonard, Yawn Barbara P, Amin Alpesh, Rommes Jean M, Rotert Rhonda
COPD Foundation, Washington, D.C.
Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Columbia University Medical Center, New York, New York.
Chronic Obstr Pulm Dis. 2016 Oct 6;3(4):778-790. doi: 10.15326/jcopdf.3.4.2016.0162.
Chronic obstructive pulmonary disease (COPD) hospitalizations and readmissions adversely impact the health and quality of life of COPD patients. Under the Hospital Readmissions Reduction Program, the Centers for Medicare & Medicaid Services reduce payments to those hospitals exceeding expected rates of COPD readmissions within 30 days of hospital discharge. It was within this climate that the COPD Foundation held its 2 COPD Readmissions Summit in March 2015. Experts in attendance: (1) categorized challenges to optimal COPD care, ( 2) analyzed the state of care delivery and readmissions reduction strategies and (3) identified the best available evidence-based approaches to improving care delivery across the continuum, including early diagnosis via spirometry, ongoing device, oxygen and medication reconciliation, treatment that addresses comorbidities and preventive care, robust patient education, prompt post-acute follow up, home health services and pulmonary rehabilitation. Results of this collaborative event formed the basis for PRAXIS, the COPD Foundation's initiative to improve COPD care across the health continuum and to reduce readmissions.
慢性阻塞性肺疾病（COPD）的住院和再入院对COPD患者的健康和生活质量产生不利影响。根据《医院再入院减少计划》，医疗保险和医疗补助服务中心会减少对那些在出院后30天内COPD再入院率超过预期的医院的付款。正是在这种背景下，COPD基金会于2015年3月举办了第二届COPD再入院峰会。与会专家：（1）对优化COPD护理的挑战进行了分类，（2）分析了护理提供状况和再入院减少策略，（3）确定了在整个连续过程中改善护理提供的最佳循证方法，包括通过肺活量测定法进行早期诊断、持续的设备、氧气和药物核对、针对合并症和预防性护理的治疗、强有力的患者教育、急性后期的及时随访、家庭健康服务和肺康复。这次合作活动的结果构成了PRAXIS的基础，这是COPD基金会旨在改善整个健康连续过程中的COPD护理并减少再入院的倡议。
