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Reducing emergency room utilization in end-stage COPD - feasible or fantasy?
1QE II Health Science Centre, 1278 South Park St., Halifax, Nova Scotia B3H2Y9 Canada. Robert.horton@cdha.nshealth.ca
Chronic Respiratory Disease
|January 29, 2013
Summary
Patients with end-stage chronic obstructive pulmonary disease (COPD) frequently visit the emergency room (ER) due to inadequate care systems. Improving care coordination can reduce ER visits and enhance patient and caregiver quality of life.
Area of Science:
- Pulmonology
- Palliative Care
- Health Systems Research
Background:
- End-stage chronic obstructive pulmonary disease (COPD) presents significant challenges for patients and caregivers.
- Emergency room (ER) visits are common for these patients, indicating unmet care needs.
Observation:
- Patients experience dyspnea and anxiety, often exacerbated by fragmented care.
- Caregiver burden is substantial, contributing to reactive healthcare seeking.
Findings:
- Fragmented and reactive care systems fail to meet the needs of end-stage COPD patients.
- A case report illustrates the difficulties faced by patients and their support systems.
Implications:
- Implementing core elements of integrated care can improve quality of life.
- Enhanced care coordination can decrease reliance on emergency room services for chronic conditions.
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