title: [Perceptions of patients and health professionals about the quality of care provided to chronic obstructive pulmonary disease patients].
abstract: OBJECTIVE
  To explore the understanding and knowledge of patients and health professionals about factors that influence the quality of care provided in Primary Care to people with Chronic Obstructive Pulmonary Disease (COPD).
  
  
  METHODS
  Qualitative study performed between February and March 2010.
  
  
  METHODS
  Primary Care Centers.
  
  
  METHODS
  Medical and nursing professionals and patients with COPD.
  
  
  METHODS
  Non-probabilistic intentional sampling with representation criterion of the discourse. Two group (focus group) and 6 individual interviews were performed. The interviews were recorded, literally transcribed and interpreted by social discourse analysis.
  
  
  RESULTS
  Patients neither identify properly the symptomatology nor they assume the COPD importance until advanced states. The lacks of knowledge about the evolution of the disease and the impact on quality of life hinders the necessary changes. Professionals reports problems with performing spirometry. Among doctors, scepticism regarding to the effectiveness of the interventions aimed at change of behaviour is identified. The existence of Clinical Guides, the improvement of the coordination between professionals and the alignment of priorities between managers and professionals stand out as organizational factors.
  
  
  CONCLUSIONS
  The identified factors suggest the possibility of improving the health care through improved communication to motivate them to take the recommended changes and to increase the adherence to treatments. To this effect, the awareness and training of professionals, the healthcare coordination, the implementation of Clinical Guides and the use of indicators in a process of quality assessment.
authors.affiliation: Hospital Universitario Miguel Servet, Zaragoza, España. Electronic address: elena_tambo@hotmail.com.
authors.forename: Elena
authors.initials: E
authors.lastname: Tambo-Lizalde
authors.affiliation: Instituto Cultura y Sociedad, Universidad de Navarra, Pamplona, España.
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Carrasco-Gimeno
authors.affiliation: Universidad de Zaragoza, Zaragoza, España.
authors.forename: Susana
authors.initials: S
authors.lastname: Mayoral-Blasco
authors.affiliation: Universidad de Zaragoza, Zaragoza, España; Instituto Aragonés de Ciencias de la Salud, Zaragoza, España.
authors.forename: María José
authors.initials: MJ
authors.lastname: Rabanaque-Hernández
authors.affiliation: Universidad de Zaragoza, Zaragoza, España; Instituto Aragonés de Ciencias de la Salud, Zaragoza, España.
authors.forename: José María
authors.initials: JM
authors.lastname: Abad-Díez
mesh_terms: D003142:Communication; D017144:Focus Groups; D006282:Health Personnel; D006801:Humans; D011320:Primary Health Care / Q000592:standards*; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D011787:Quality of Health Care; D011788:Quality of Life
keywords: Calidad asistencial; Chronic obstructive pulmonary disease; Continuidad de cuidados; Continuity of patient care; Enfermedad pulmonar obstructiva crónica; Investigación cualitativa; Qualitative research; Quality of health care