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Barriers to care and needs of patients with COPD

Barriers to care and needs of patients with COPD. Bart Thoonen MD,PhD Radboud University Nijmegen Dept of General Practice On behalf of WONCA. Who is in charge of your COPD?. Caregivers are not the only ones responsible for treating your COPD.

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Barriers to care and needs of patients with COPD

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  1. Barriers to care and needs of patients with COPD Bart Thoonen MD,PhD Radboud University Nijmegen Dept of General Practice On behalf of WONCA

  2. Who is in charge of your COPD? • Caregivers are not the only ones responsible for treating your COPD. • It is most important for you as a patiënt to learn how to slow down the progression of COPD yourself and how to deal with your COPD.

  3. Needs of patients?

  4. COPD is disabling disease From ‘Confronting COPD’

  5. www.astmafonds.nl

  6. The role of health professionals Green Lanier D, Dovey SMLA, Fryer GE Jr, Yawn BP, The ecology of medical care revisited. N Engl J Med. 2001 Jun 28;344(26):2021-5.

  7. Who’s in charge of your COPD? • Patient • Physician • Self management • Shared responsabilities

  8. Self management - definition • Patients explicitly make informed decisions on how to deal with COPD • Physician should challenge patient • To become more independant • To explore own possibilities and limitations • To take control

  9. Self management – what is needed Knowledge Self-management Selfefficacy behaviour outcomes Skills Earlier experience Practice Feedback Proper actions Integration in daily life Improve QOL Reduce complications

  10. Knowledge and skills • Patients need to know and accept they have COPD • Ability to monitor disease • Ability to take proper action

  11. The role of primary care • Early diagnosis • Continuity of care Knowledge Self-management Selfefficacy behaviour outcomes Skills Earlier experience Practice Feedback Proper actions Integration in daily life Improve QOL Reduce complications

  12. Who is in charge of your COPD?

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