Primary and secondary care clinicians' views on self-treatment of COPD exacerbations: a multinational qualitative study
Primary and secondary care clinicians' views on self-treatment of COPD exacerbations: a multinational qualitative study
OBJECTIVE: To explore clinicians' views on antibiotic and/or steroid 'rescue packs' used as self-treatment for patients with exacerbations of COPD.
METHODS: 21 focus groups conducted in 7 countries--Netherlands, Russia, Norway, China (Hong Kong), Wales, Germany and Poland involving 142 primary care clinicians and pulmonologists.
RESULTS: We found wide variation in reported use of and attitudes to self-treatment among GPs and pulmonologists in the participating countries. Clinicians highlighted the importance of identifying patients who were most likely to benefit (those with more severe disease) and most likely to use the treatment appropriately (demonstrated by previous behaviour), and the importance of adequate patient education and ongoing communication in regard to use of self-treatment packs. Clinicians recognised patient empowerment and facilitating prompt treatment as potential benefits of self-treatment. However, many felt they did not have the time or resources for appropriate patient selection and education.
CONCLUSION: Clinicians do not feel it is appropriate to offer self-treatment rescue packs to all patients routinely without careful consideration of patient understanding of their illness and their capacity for self-management.
PRACTICE IMPLICATIONS: Adequate resources and continuity of patient care are required for clinicians to feel confident in the safe and effective implementation of this strategy.
Attitude of Health Personnel, China, Europe, Female, Focus Groups, Humans, Male, Middle Aged, Physicians, Pulmonary Disease, Chronic Obstructive/therapy, Qualitative Research, Quality of Life, Secondary Care, Self Care
256-263
Davies, Freya
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Risør, Mette Bech
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Melbye, Hasse
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Spigt, Mark
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Brookes-Howell, Lucy
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O'Neill, Claire
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Godycki-Cwirko, Maciek
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Wollny, Anja
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Andreeva, Elena
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Butler, Chris
95583b3d-b015-42de-ba2d-10de4ba67707
Francis, Nick
9b610883-605c-4fee-871d-defaa86ccf8e
August 2014
Davies, Freya
663d21ac-3595-4f9a-97e6-553ad964dc3d
Risør, Mette Bech
1d925c4b-bb8f-4e9f-8367-748fed982660
Melbye, Hasse
be60ca95-b236-48e5-8eb9-c9a153d54a8f
Spigt, Mark
d81b9f01-cce1-43d3-9c3b-3b2836978c81
Brookes-Howell, Lucy
307c5275-082d-4586-ba9d-461527607164
O'Neill, Claire
ad81ea5c-fe59-45a0-835b-b85bd112c05a
Godycki-Cwirko, Maciek
306b5836-4955-470d-bf1f-77c6ac282138
Wollny, Anja
03a942d7-7817-4870-92b2-3aafc3421242
Andreeva, Elena
6f19d217-aef9-4b37-a140-f9b965e2ab3f
Butler, Chris
95583b3d-b015-42de-ba2d-10de4ba67707
Francis, Nick
9b610883-605c-4fee-871d-defaa86ccf8e
Davies, Freya, Risør, Mette Bech, Melbye, Hasse, Spigt, Mark, Brookes-Howell, Lucy, O'Neill, Claire, Godycki-Cwirko, Maciek, Wollny, Anja, Andreeva, Elena, Butler, Chris and Francis, Nick
(2014)
Primary and secondary care clinicians' views on self-treatment of COPD exacerbations: a multinational qualitative study.
Patient Education and Counseling, 96 (2), .
(doi:10.1016/j.pec.2014.05.011).
Abstract
OBJECTIVE: To explore clinicians' views on antibiotic and/or steroid 'rescue packs' used as self-treatment for patients with exacerbations of COPD.
METHODS: 21 focus groups conducted in 7 countries--Netherlands, Russia, Norway, China (Hong Kong), Wales, Germany and Poland involving 142 primary care clinicians and pulmonologists.
RESULTS: We found wide variation in reported use of and attitudes to self-treatment among GPs and pulmonologists in the participating countries. Clinicians highlighted the importance of identifying patients who were most likely to benefit (those with more severe disease) and most likely to use the treatment appropriately (demonstrated by previous behaviour), and the importance of adequate patient education and ongoing communication in regard to use of self-treatment packs. Clinicians recognised patient empowerment and facilitating prompt treatment as potential benefits of self-treatment. However, many felt they did not have the time or resources for appropriate patient selection and education.
CONCLUSION: Clinicians do not feel it is appropriate to offer self-treatment rescue packs to all patients routinely without careful consideration of patient understanding of their illness and their capacity for self-management.
PRACTICE IMPLICATIONS: Adequate resources and continuity of patient care are required for clinicians to feel confident in the safe and effective implementation of this strategy.
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More information
Published date: August 2014
Additional Information:
Available online 22 May 2014
Keywords:
Attitude of Health Personnel, China, Europe, Female, Focus Groups, Humans, Male, Middle Aged, Physicians, Pulmonary Disease, Chronic Obstructive/therapy, Qualitative Research, Quality of Life, Secondary Care, Self Care
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Local EPrints ID: 436384
URI: http://eprints.soton.ac.uk/id/eprint/436384
ISSN: 0738-3991
PURE UUID: fd43587c-0152-4cf4-ac2f-176c2f33b9c1
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Date deposited: 09 Dec 2019 17:30
Last modified: 17 Mar 2024 03:58
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Contributors
Author:
Freya Davies
Author:
Mette Bech Risør
Author:
Hasse Melbye
Author:
Mark Spigt
Author:
Lucy Brookes-Howell
Author:
Claire O'Neill
Author:
Maciek Godycki-Cwirko
Author:
Anja Wollny
Author:
Elena Andreeva
Author:
Chris Butler
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