Primary care management of chronic obstructive pulmonary disease: an integrated goal-directed approach.
OBJECTIVE
This review discusses the role of the primary care physician in the care of the patient with chronic obstructive pulmonary disease and considers how an integrated chronic care model can be applied.


RESULTS
Evidence suggests that a multidisciplinary approach can be successfully applied to a chronic obstructive pulmonary disease patient. These interventions can lead to improvement in quality of life and reduced healthcare utilization.


CONCLUSIONS
An integrated care program for chronic obstructive pulmonary disease to assist the primary care provider should include the elements of the chronic care model. The support of a community-based outreach nurse, allied health staff, rehabilitation services and a case manager can assure best practices and identify gaps in quality care.
Braman
Sidney S
SS
Division of Pulmonary and Critical Care Medicine, The Alpert Medical School of Brown University, Providence, Rhode Island 02903, USA. sidney_braman@brown.edu
Lee
David W
DW
D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D011320:Primary Health Care / Q000458:organization & administration*; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D011787:Quality of Health Care; D011788:Quality of Life