National evaluation of integrated care pilots

Source: Department of Health 

Follow this link to full text, summary and appendices

Date of publication: March 2012

Publication type: Department of Health Report

In a nutshell: This Department of Health report evaluates a two year independent study of integrated care pilots in 16 sites across England.  Sites in Northumbria (p33), Nottinghamshire (p57) and Torbay (p58) worked on COPD services.

Length of publication:  Various pages

An outcomes strategy for people with chronic obstructive pulmonary disease (COPD) and asthma in England

Source: Department of Health http://www.dh.gov.uk

Follow this link for the abstract

Follow this link for the full-text

Date of publication:  July 2011

Publication type: Strategy

In a nutshell: Sets out six objectives to improve outcomes for COPD and asthma through high-quality prevention, detection and treatment and care services.  There is also a link from the abstract page to an Assessment of the Impact of Equalities and the Government response to the consultation.

Length of publication:  56 pages

Sutton’s integrated health and social care pilot shows benefits for patients

Source: Department of Health

Date of publication: 16 March 2011

Publication type: News story

In a nutshell:  A six-month pilot targeted people who had presented at A&E or passed through A&E with heart failure, diabetes or COPD. Sutton Council installed monitoring devices in each patient’s home so GPs could check their client’s blood pressure, blood oxygenation and other indicators, then take early action.  Each client’s needs were also discussed at weekly meetings by a social worker, psychologist, GP, community matron and district nurse.

Length of publication:  1 web page

An integrated care facilitation model improves quality of life and reduces use of hospital resources

Source:  Australian J Primary  Health. 2010;16(4):326-33

Follow this link for the abstract

Date of publication: December 2010

Publication type: Journal article

In a nutshell: Describes a Melbourne consortium of community based health care providers formed to reduce the demand on hospital emergency services and improve health outcomes for patients with COPD and chronic heart failure (CHF). The model of care utilised ‘Care Facilitators’. The outcome measures used suggest that an integrated care facilitation model that is patient focussed, provides an education component to promote greater self-management compliance and delivers a continuum of care through the acute and community health sectors, may reduce the utilisation of acute health care facilities and benefit the patient.

Length of publication:  7 pages

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details.  Follow this link to find your local NHS Library.

Development of an integrated COPD service model in an inner-city region in the UK

Source: Primary Care Respiratory Journal Volume 19 Issue 4 Pages 390-397

Follow this link to view the full text 

Date of publication: December 2010

Publication type: Journal article

In a nutshell: A report of initial findings and 12-month results following a health needs analysis and benchmarking exercise in Salford.  The authors conclude that the integrated COPD service model described has been successful in increasing diagnosis, reducing hospital admissions and reducing length of hospital stay.

Length of publication: 8 pages

Some Important Notes: Other articles in this issue may be of interest, including the editorial ‘Improving COPD outcomes: a call to arms’, ‘The use of roflumilast in COPD: a primary care perspective’ and ‘Herbal interventions for chronic asthma in adults and children’. 
 Please contact your local NHS library if you would like to access the full text. Please follow this link to contact your local NHS Library.

A pilot study of identification and case management of high-risk COPD patients in a general practice

Source: Fam Pract. 2010 Jul 14. [Epub ahead of print]

Follow this link for the abstract

Date of publication: July 2010

Publication type: Journal article

In a nutshell: The authors examine the effect of case management in primary care of patients with COPD at high risk of hospital admission, identified using a novel multidimensional index of disease severity (DOSE index). This observational pilot study in a single general practice showed case management of high-risk patients in primary care may reduce hospital admissions. This needs to be tested in a randomized controlled trial.

Length of publication:  online

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details.  Follow this link to find your local NHS Library.

Pulmonary Rehabilitation: what we know and what we need to know

Source: Journal of Cardiopulmonary Rehabilitation and Prevention, May/June 2009, 29(3) pages 141-151

Follow this link for abstract

Date of publication: 2009

Publication type: Journal Article

In a nutshell: Looks at the future direction of pulmonary rehabilitation; where it fits into the all round care of the COPD patient; and how clinicians can best apply this intervention. It concludes that although PR is effective for other chronic respiratory diseases, the focus is COPD since most of the evidence base and patient referrals are for this disease. The article provides insight into 3 broad areas appropriate of implementation: positioning PR in an integrated care model for COPD patients; improving the effectiveness of this intervention; and expanding the recognition, application, and accessibility to PR.

Length of publication: 11 pages

Some important notes: Original article may be available with an NHS Athens username; contact your local NHS library service for details Follow this link to find your local NHS Library. 

Acknowledgement: CINAHL