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Published on: December 17, 2017
Cough management in primary, secondary and tertiary settings
Kay Wang1, Nikki Milojevic2, Bryan Sheinman2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK.
This review details cough management across healthcare levels, covering its burden, diagnosis, and treatments. It highlights challenges in primary care and specialist strategies for persistent and idiopathic cough.
Area of Science:
- Pulmonology
- General Practice
- Clinical Medicine
Background:
- Cough is a common symptom with significant burden across primary, secondary, and tertiary care settings.
- Effective management requires understanding diagnostic tools and treatment strategies.
Purpose of the Study:
- To review the multifaceted aspects of cough management in diverse healthcare environments.
- To provide insights into diagnostic challenges and therapeutic approaches for persistent and recalcitrant cough.
Main Methods:
- Literature review focusing on cough management strategies.
- Analysis of diagnostic tools and treatment options.
- Inclusion of clinical case examples and service development models.
Main Results:
- Cough management presents distinct challenges in primary, secondary, and tertiary care.
- Diagnostic investigation and treatment require tailored approaches based on clinical setting.
- Specialist services are crucial for managing persistent and idiopathic cough.
Conclusions:
- Optimizing cough management necessitates a tiered approach across healthcare levels.
- Establishing dedicated clinics can improve care for persistent cough.
- Addressing idiopathic and recalcitrant cough requires specialized expertise.
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