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[Evaluation of the chronic airflow obstruction programme].

C Velarde Mayol1, M L Catalina Zamora, P Hernández Almarza

  • 1Centro de Salud Segovia-1, Segovia.

Atencion Primaria
|September 1, 1991
PubMed
Summary

This evaluation of a chronic airflow obstruction program found low patient capture and retention rates, despite some clinical improvements and successful smoking cessation efforts. The program did not meet its overall quality of care objectives.

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Area of Science:

  • Community Medicine
  • Respiratory Health
  • Public Health Programs

Context:

  • Evaluation of a chronic airflow obstruction (CAO) program in Segovia's Family and Community Medicine Teaching Unit.
  • Assessment period: October 1989 to October 1990, comparing with initial evaluation and program goals.

Purpose:

  • To assess the effectiveness and outcomes of the CAO program.
  • To compare current results with previous evaluations and established program objectives.
  • To identify areas of success and shortcomings in program delivery.

Summary:

  • The program reached 41.1% of its target population (111 cases), with a significant 28.8% patient dropout rate, impacting overall success.
  • Positive outcomes included clinical improvement in patients and a 15% smoking cessation rate among those at risk.

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  • However, the program generally failed to achieve its quality of care objectives compared to initial goals and the first evaluation.

    • Impact:

    • Highlights challenges in patient recruitment and retention for chronic disease management programs.
    • Identifies specific successes in patient-centered outcomes like clinical improvement and smoking cessation.
    • Provides data for program refinement to better meet quality of care targets in community medicine settings.