Repository logo
 

Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery

Published version
Peer-reviewed

Change log

Authors

Wu, Frances 
Burt, Jenni 
Chowdhury, Teena 
Fitzpatrick, Raymond 
Martin, Graham 

Abstract

Introduction: The COVID-19 pandemic has impacted specialty chronic obstructive pulmonary disease (COPD) care. We examined the degree to which care has moved to remote approaches, eliciting clinician and patient perspectives on what is appropriate for ongoing remote delivery. Methods: Using an online research platform, we conducted a survey and consensus-building process involving clinicians and patients with COPD. Results: Fifty-five clinicians and 19 patients responded. The majority of clinicians felt able to assess symptom severity (n=52, 95%), reinforce smoking cessation (n=46, 84%) and signpost to other healthcare resources (n=44, 80%). Patients reported that assessing COPD severity and starting new medications were being addressed through remote care. Forty-three and 31 respondents participated in the first and second consensus-building rounds, respectively. When asked to rate the appropriateness of using remote delivery for specific care activities, respondents reached consensus on 5 of 14 items: collecting information about COPD and overall health status (77%), providing COPD education and developing a self-management plan (74%), reinforcing smoking cessation (81%), deciding whether patients should seek in-person care (72%) and initiating a rescue pack (76%). Conclusion: Adoption of remote care delivery appears high, with many care activities partially or completely delivered remotely. Our work identifies strengths and limitations of remote care delivery.

Description

Funder: The Health Foundation

Keywords

Chronic obstructive pulmonary disease, 1506, 2474, 2215, COPD exacerbations, inhaler devices, long-term oxygen therapy (LTOT)

Journal Title

BMJ Open Respiratory Research

Conference Name

Journal ISSN

2052-4439

Volume Title

8

Publisher

BMJ Publishing Group