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Chronic obstructive pulmonary disease model of care

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Chronic obstructive pulmonary disease model of care

by Western Australian Department of Health

Report
Year 2012
City Perth, WA
Institution Health Networks, Western Australian Department of Health
Date August 2012

Abstract adapted from Health Networks

This resource outlines best practice care for those at risk of or diagnosed with chronic obstructive pulmonary disease (COPD). The focus is on optimal pathways of care and the management of long term conditions through self-management, disease and case management.

The Model builds on the knowledge and capacity of the current services provided to people with COPD and evidence-based best practice as documented in the WA Chronic Respiratory Disease Service Improvement Framework (CSIF) November 2005.

The CSIF sets out the five standards, relating to a stage in the disease continuum, which are covered by this Model of Care including:

  • COPD prevention
  • early diagnosis of COPD
  • management of stable COPD
  • treatment and support during acute exacerbations
  • care and support at the end of life.

The objectives of the COPD Model of Care are to:

1. Outline a Model of Care including strategies to facilitate the implementation of the five COPD standards focusing on:

  • primary prevention particularly to target high risk populations
  • identification of all smokers and referral to smoking cessation services
  • optimised access to and use of spirometry
  • establishment of integrated, community based COPD services including pulmonary rehabilitation
  • management plans and service pathways across the disease continuum.

2. Briefly outline current service delivery and report on the implementation of the five standards for COPD as set out in the CSIF.

The Model seeks to improve access to services for people in both metropolitan and rural Western Australia.

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