The Obstructive Lung Diseases Program: Integrated obstructive lung disease services within primary care in Pakistan

Area of Science:

• Pulmonary Medicine
• Medical Education
• Public Health

Background:

• Healthcare professionals (HCPs) require continuous training in diagnosing and managing obstructive lung diseases (OLD).
• Integrated care programs are crucial for early detection and effective management of chronic respiratory conditions.
• The Indus Hospital & Health Network (IHHN) in Pakistan implemented an e-learning curriculum and screening program for OLD.

Purpose of the Study:

• To evaluate the learning impact of e-curriculums on HCPs regarding obstructive lung diseases.
• To report the screening, detection, and clinical features of patients with OLD within an integrated care program.
• To assess the effectiveness of updated management strategies in primary care settings.

Main Methods:

• A retrospective, observational study was conducted from January 2019 to July 2021.
• HCPs received e-learning training on OLD diagnosis and management.
• Patients were screened clinically, with spirometry used for suspected cases. Data on demographics, PROMs, spirometry, and treatments were collected.

Main Results:

• 33 HCPs completed e-learning, with 77.9% showing significant improvement (26.8% increase, p=0.000).
• Of 1896 patients screened, 60.8% were diagnosed with OLD, predominantly asthma (66.5%).
• Poor symptom control was reported by 84.5% of patients completing PROMs; interventions included inhaler technique, pulmonary rehabilitation referrals, and tobacco cessation advice.

Conclusions:

• The integrated OLD program enhances primary care capacity through training, diagnostics, and updated management.
• This approach facilitates earlier diagnosis and evidence-based interventions for patients with OLD.
• The program aims to reduce morbidity and mortality associated with obstructive lung diseases.