Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery
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 re...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-01-01
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| Series: | BMJ Open Respiratory Research |
| Online Access: | https://bmjopenrespres.bmj.com/content/8/1/e000817.full |
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| author | John R Hurst Raymond Fitzpatrick Jenni Burt Graham Martin Frances Wu Teena Chowdhury Jan W van der Scheer |
| author_facet | John R Hurst Raymond Fitzpatrick Jenni Burt Graham Martin Frances Wu Teena Chowdhury Jan W van der Scheer |
| author_sort | John R Hurst |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-0b430731f124430ba958eb270ac7950f |
| institution | Kabale University |
| issn | 2052-4439 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Respiratory Research |
| spelling | doaj-art-0b430731f124430ba958eb270ac7950f2024-11-24T21:35:09ZengBMJ Publishing GroupBMJ Open Respiratory Research2052-44392021-01-018110.1136/bmjresp-2020-000817Specialty COPD care during COVID-19: patient and clinician perspectives on remote deliveryJohn R Hurst0Raymond Fitzpatrick1Jenni Burt2Graham Martin3Frances Wu4Teena Chowdhury5Jan W van der Scheer6Academic Unit of Respiratory Medicine, UCL Medical School, London, UK2University of Oxford, Nuffield Department of Population Health, Oxford, United KingdomThe Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, Cambridgeshire, UKPaediatrics, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UKOcular Melanoma Center, Retina Service, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USAAudit and Accreditation, Royal College of Physicians, London, UKTHIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKIntroduction 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.https://bmjopenrespres.bmj.com/content/8/1/e000817.full |
| spellingShingle | John R Hurst Raymond Fitzpatrick Jenni Burt Graham Martin Frances Wu Teena Chowdhury Jan W van der Scheer Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery BMJ Open Respiratory Research |
| title | Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery |
| title_full | Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery |
| title_fullStr | Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery |
| title_full_unstemmed | Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery |
| title_short | Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery |
| title_sort | specialty copd care during covid 19 patient and clinician perspectives on remote delivery |
| url | https://bmjopenrespres.bmj.com/content/8/1/e000817.full |
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