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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Integrated care in COPD

Jean Bourbeau1, Claudia LeBlanc2

  • 1Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, Montreal, Canada; Department of Medicine, McGill University, Montreal, Quebec, Canada.

Presse Medicale (Paris, France : 1983)
|November 1, 2025
PubMed

Insights

Integrated care improves chronic obstructive pulmonary disease (COPD) management by combining education and self-management. This approach, supported by evidence, enhances patient care trajectories and sustainability in healthcare.

Area of Science:

  • Pulmonology
  • Healthcare Management
  • Public Health

Background:

  • Chronic Obstructive Pulmonary Disease (COPD) presents a significant global health challenge, marked by high symptom burden and healthcare utilization.
  • It is the fourth leading cause of death worldwide, with rising prevalence projected.
  • While pharmacological treatments are vital, non-pharmacological strategies are crucial for effective COPD management.

Purpose of the Study:

  • To review the evolution of integrated care models for COPD patients.
  • To highlight evidence from randomized clinical trials and patient perspectives on integrated care.
  • To identify challenges faced by healthcare professionals in implementing integrated care.

Main Methods:

  • Literature review focusing on integrated care in COPD.
  • Analysis of evidence from randomized clinical trials (RCTs).
  • Inclusion of patient perspectives and real-world evidence.

Main Results:

  • Integrated care, encompassing education and self-management, is increasingly recognized as essential for COPD patient care.
  • Evidence from RCTs supports the benefits of integrated care models.
  • Real-world adoption demonstrates the sustainability and broader reach of these models.

Conclusions:

  • Integrated care is a cornerstone in managing COPD, complementing pharmacological treatments.
  • Successful implementation requires addressing challenges faced by healthcare professionals.
  • Long-term integrated care models, supported by robust evidence, are key to improving COPD patient outcomes.

Keywords:
COPDCare coordinationChronic diseaseIntegrated careMultidisciplinary teamSelf-management

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