The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.1186/1745-6215-11-111 |
Resumo: | Background: Hospital treatment of chronic obstructive pulmonary disease (COPD) frequently does not follow published evidences. This lack of adherence can contribute to the high morbidity, mortality and readmissions rates. The European Quality of Care Pathway (EQCP) study on acute exacerbations of COPD (NTC00962468) is undertaken to determine how care pathways (CP) as complex intervention for hospital treatment of COPD affects care variability, adherence to evidence based key interventions and clinical outcomes.Methods: An international cluster Randomized Controlled Trial (cRCT) will be performed in Belgium, Italy, Ireland and Portugal. Based on the power analysis, a sample of 40 hospital teams and 398 patients will be included in the study. In the control arm of the study, usual care will be provided. The experimental teams will implement a CP as complex intervention which will include three active components: a formative evaluation of the quality and organization of care, a set of evidence based key interventions, and support on the development and implementation of the CP. The main outcome will be six-month readmission rate. As a secondary endpoint a set of clinical outcome and performance indicators (including care process evaluation and team functioning indicators) will be measured in both groups.Discussion: The EQCP study is the first international cRCT on care pathways. The design of the EQCP project is both a research study and a quality improvement project and will include a realistic evaluation framework including process analysis to further understand why and when CP can really work. |
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The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary DiseaseRationale and design of a cluster randomized controlled trialMedicine (miscellaneous)Pharmacology (medical)Background: Hospital treatment of chronic obstructive pulmonary disease (COPD) frequently does not follow published evidences. This lack of adherence can contribute to the high morbidity, mortality and readmissions rates. The European Quality of Care Pathway (EQCP) study on acute exacerbations of COPD (NTC00962468) is undertaken to determine how care pathways (CP) as complex intervention for hospital treatment of COPD affects care variability, adherence to evidence based key interventions and clinical outcomes.Methods: An international cluster Randomized Controlled Trial (cRCT) will be performed in Belgium, Italy, Ireland and Portugal. Based on the power analysis, a sample of 40 hospital teams and 398 patients will be included in the study. In the control arm of the study, usual care will be provided. The experimental teams will implement a CP as complex intervention which will include three active components: a formative evaluation of the quality and organization of care, a set of evidence based key interventions, and support on the development and implementation of the CP. The main outcome will be six-month readmission rate. As a secondary endpoint a set of clinical outcome and performance indicators (including care process evaluation and team functioning indicators) will be measured in both groups.Discussion: The EQCP study is the first international cRCT on care pathways. The design of the EQCP project is both a research study and a quality improvement project and will include a realistic evaluation framework including process analysis to further understand why and when CP can really work.Escola Nacional de Saúde Pública (ENSP)RUNVanhaecht, KrisSermeus, WalterPeers, JanLodewijckx, CathyDeneckere, SvinLeigheb, FabrizioDecramer, MarcPanella, MassimilianoDoocey, AntoinetteBoto, Paulo Alexandre FariaMendez, Rita Velosothe EQCP Study Group2018-06-21T22:07:14Z2010-11-192010-11-19T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1186/1745-6215-11-111eng1745-6215PURE: 4407843http://www.scopus.com/inward/record.url?scp=78349261954&partnerID=8YFLogxKhttps://doi.org/10.1186/1745-6215-11-111info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:21:55Zoai:run.unl.pt:10362/39949Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:31:12.775330Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease Rationale and design of a cluster randomized controlled trial |
title |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease |
spellingShingle |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease Vanhaecht, Kris Medicine (miscellaneous) Pharmacology (medical) |
title_short |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease |
title_full |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease |
title_fullStr |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease |
title_full_unstemmed |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease |
title_sort |
The impact of care pathways for exacerbation of Chronic Obstructive Pulmonary Disease |
author |
Vanhaecht, Kris |
author_facet |
Vanhaecht, Kris Sermeus, Walter Peers, Jan Lodewijckx, Cathy Deneckere, Svin Leigheb, Fabrizio Decramer, Marc Panella, Massimiliano Doocey, Antoinette Boto, Paulo Alexandre Faria Mendez, Rita Veloso the EQCP Study Group |
author_role |
author |
author2 |
Sermeus, Walter Peers, Jan Lodewijckx, Cathy Deneckere, Svin Leigheb, Fabrizio Decramer, Marc Panella, Massimiliano Doocey, Antoinette Boto, Paulo Alexandre Faria Mendez, Rita Veloso the EQCP Study Group |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) RUN |
dc.contributor.author.fl_str_mv |
Vanhaecht, Kris Sermeus, Walter Peers, Jan Lodewijckx, Cathy Deneckere, Svin Leigheb, Fabrizio Decramer, Marc Panella, Massimiliano Doocey, Antoinette Boto, Paulo Alexandre Faria Mendez, Rita Veloso the EQCP Study Group |
dc.subject.por.fl_str_mv |
Medicine (miscellaneous) Pharmacology (medical) |
topic |
Medicine (miscellaneous) Pharmacology (medical) |
description |
Background: Hospital treatment of chronic obstructive pulmonary disease (COPD) frequently does not follow published evidences. This lack of adherence can contribute to the high morbidity, mortality and readmissions rates. The European Quality of Care Pathway (EQCP) study on acute exacerbations of COPD (NTC00962468) is undertaken to determine how care pathways (CP) as complex intervention for hospital treatment of COPD affects care variability, adherence to evidence based key interventions and clinical outcomes.Methods: An international cluster Randomized Controlled Trial (cRCT) will be performed in Belgium, Italy, Ireland and Portugal. Based on the power analysis, a sample of 40 hospital teams and 398 patients will be included in the study. In the control arm of the study, usual care will be provided. The experimental teams will implement a CP as complex intervention which will include three active components: a formative evaluation of the quality and organization of care, a set of evidence based key interventions, and support on the development and implementation of the CP. The main outcome will be six-month readmission rate. As a secondary endpoint a set of clinical outcome and performance indicators (including care process evaluation and team functioning indicators) will be measured in both groups.Discussion: The EQCP study is the first international cRCT on care pathways. The design of the EQCP project is both a research study and a quality improvement project and will include a realistic evaluation framework including process analysis to further understand why and when CP can really work. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-11-19 2010-11-19T00:00:00Z 2018-06-21T22:07:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.1186/1745-6215-11-111 |
url |
https://doi.org/10.1186/1745-6215-11-111 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1745-6215 PURE: 4407843 http://www.scopus.com/inward/record.url?scp=78349261954&partnerID=8YFLogxK https://doi.org/10.1186/1745-6215-11-111 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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