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Introducing the national COPD resources and outcomes project
Robert A Stone1, Brian D W Harrison, Derek Lowe
1Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London, UK. ra.stone@btinternet.com
BMC Health Services Research
|September 26, 2009
Summary
This study surveyed UK hospitals on Chronic Obstructive Pulmonary Disease (COPD) care, finding improvements since 2003 but highlighting areas needing further development for better patient outcomes.
Area of Science:
- Pulmonology
- Healthcare Management
- Quality Improvement
Background:
- Baseline data on Chronic Obstructive Pulmonary Disease (COPD) care organization in UK NHS hospitals were collected.
- The National COPD Resources and Outcomes Project (NCROP) initiated this data collection.
Purpose of the Study:
- To assess the organization and performance of COPD care in UK hospitals.
- To identify areas of improvement in COPD service delivery.
Main Methods:
- An initial survey of 100 participating hospitals was conducted in 2007.
- Data collected covered general care, non-invasive ventilation (NIV), pulmonary rehabilitation, early discharge schemes, and oxygen services.
- Comparisons were made with the national 2003 audit findings where possible.
Main Results:
- Significant improvements in many aspects of COPD care were observed since the 2003 audit.
- Larger hospital units predominantly participated in the study.
- Key areas identified for further improvement include acute care organization, staff training, end-of-life care, oxygen service management, and pulmonary rehabilitation continuation.
Conclusions:
- Repeated audits demonstrate positive change and service improvement over time.
- Interventions like the NCROP's Peer Review are necessary for achieving more comprehensive and rapid advancements in COPD care.
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