Effectiveness of Healthcare Coordination in Patients with Chronic Respiratory Diseases

Overview

Journal Adv Exp Med Biol

Specialties Biology
General Medicine

Date 2017 Aug 13

PMID 28801791

Citations 1

Authors

Donata Kurpas

Katarzyna Szwamel

Dorota Lenarcik

Marika Guzek

Artur Prusaczyk

Pawel Zuk

Jolanta Michalowska

Agnieszka Grzeda

Bozena Mroczek

Affiliations

Soon will be listed here.

Abstract

Coordination of healthcare effectively prevents exacerbations and reduces the number of hospitalizations, emergency visits, and the mortality rate in patients with chronic respiratory diseases. The purpose of this study was to determine clinical effectiveness of ambulatory healthcare coordination in chronic respiratory patients and its effect on the level of healthcare services as an indicator of direct medical costs. We conducted a retrospective health record survey, using an online database of 550 patients with chronic respiratory diseases. There were decreases in breathing rate, heart rate, and the number of cigarettes smoked per day, and forced vital capacity (FVC) and forced expired volume in 1 s (FEV1) increased after the implementation of the coordinated healthcare structure. These benefits were accompanied by increases in the number of visits to the pulmonary outpatient clinic (p < 0.001), diagnostic costs (p < 0.001), and referrals to other outpatient clinics (p < 0.003) and hospitals (p < 0.001). The advantageous effects of healthcare coordination on clinical status of respiratory patients above outlined persisted over a 3-year period being reviewed.

Citing Articles

Challenges in Implementing Integrated Care in Central and Eastern Europe - Experience of Poland.

Kurpas D Int J Integr Care. 2020; 20(2):7.

PMID: 32477036 PMC: 7243830. DOI: 10.5334/ijic.5533.

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