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Challenges to the Application of Integrated, Personalized Care for Patients with COPD-A Vision for the Role of Clinical Information

Artikel i vetenskaplig tidskrift
Författare Lowie E G W Vanfleteren
A. J. van't Hul
Katarzyna Kulbacka-Ortiz
Anders Andersson
Anders Ullman
M. Ingvar
Publicerad i Journal of Clinical Medicine
Volym 9
Nummer/häfte 5
Sidor 12
ISSN 2077-0383
Publiceringsår 2020
Publicerad vid Institutionen för medicin
Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition
Institutionen för kliniska vetenskaper, Avdelningen för ortopedi
Sidor 12
Språk en
Länkar dx.doi.org/10.3390/jcm9051311
Ämnesord COPD, person-centered care, clinical health informatics, care plan, chronic disease, multimorbidity, obstructive pulmonary-disease, quality-of-life, management, burden, rehabilitation, interventions, clusters, medicine, volume, General & Internal Medicine
Ämneskategorier Klinisk medicin


Chronic Obstructive Pulmonary Disease (COPD) is a complex disease defined by airflow limitation and characterized by a spectrum of treatable and untreatable pulmonary and extra-pulmonary disease characteristics. Nonpharmacological management related to physical activity, physical capacity, body composition, breathing and energy-saving techniques, coping strategies, and self-management is as important as its pharmacological management. Most patients with COPD carry other chronic diagnoses and this poses a key challenge, as it lowers the quality of life, increases mortality, and impacts healthcare consumption. A personalized, multi-, and interprofessional approach is key. Today, healthcare is poorly organized to meet this complexity with the isolation between care levels, logic silos of the different healthcare professions, and lack of continuity of care along the patient's journey with the healthcare system. In order to meet the criteria for integrated, personalized care for COPD, the structural capabilities of healthcare to support a comprehensive approach and continuity of care needs improvement. COPD is preeminently a disease that requires a transition from a reactive single-specialty approach to a proactive interprofessional approach. In this study, we discuss the issues that need to be addressed when moving from current health care practice to a person-centered model where the care processes and information are aligned to the individual personal needs of the patient.

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