Improving care of COPD diagnosis, rehab access, and care planning. Final evaluation report for Queensland Health (QH), Clinical Excellence Division

Blythe, Robin and Graves, Nicholas and Dyer, Carly and Osborne, Sonya ORCID: https://orcid.org/0000-0002-2826-0627 and Hodby, Sharon and McQueen, Liam (2019) Improving care of COPD diagnosis, rehab access, and care planning. Final evaluation report for Queensland Health (QH), Clinical Excellence Division. Government Report. Queensland university of Technology, Australian Centre for Health Services Innovation , Brisbane, Australia. [Report]

[img]
Preview
Text (Accepted Version)
Chronic_Obstructive_Pulmonary_Disease_COPD.pdf

Download (17kB) | Preview

Abstract

The problem: Thousands of patients across Brisbane and Queensland are hospitalised for Chronic Obstructive Pulmonary Disease (COPD) each year. Hospitalisations are significant negative outcomes that can sometimes be prevented with improved primary care management and patient rehabilitation programs for better health states, lower costs, and less engagement with acute care.

The innovation: The COPD project conducted a multi-component intervention with two arms that affected patient outcomes: introducing general practice (GP) clinical audits to better manage COPD patients in the primary care setting, and improving accessibility in rehabilitation from chronic COPD.

Key findings: We found several outcomes of interest. As a result of the GP audit, there was improved adherence to measuring the detection rates of COPD in the primary health sector, increasing GP engagement with COPD patients. This also improved adherence to best practice and preventive care, reducing length of stay (LOS) for admitted COPD patients by 18.3%, or one day on average. Emergency department (ED) data was unreliable and did not yield significant results. The mobile rehabilitation program achieved a slight increase of 0.04 quality-adjusted lifeyears as a result of the new service. The program significantly increased access, increasing completion rates by 11.9%, contributing to improved outcomes. The greater accessibility of rehab programs could potentially lead to further improvements in quality of life as more patients become able to attend.


Statistics for USQ ePrint 41161
Statistics for this ePrint Item
Item Type: Report (Government Report)
Item Status: Live Archive
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 14 Jun 2021 02:33
Last Modified: 05 Aug 2021 01:32
Uncontrolled Keywords: chronic obstructive pulmonary disease; hospitalisation; primary care settings
Fields of Research (2008): 11 Medical and Health Sciences > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420312 Implementation science and evaluation
Socio-Economic Objectives (2008): E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Socio-Economic Objectives (2020): 20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs)
20 HEALTH > 2003 Provision of health and support services > 200399 Provision of health and support services not elsewhere classified
20 HEALTH > 2002 Evaluation of health and support services > 200202 Evaluation of health outcomes
URI: http://eprints.usq.edu.au/id/eprint/41161

Actions (login required)

View Item Archive Repository Staff Only