Danish general practitioners' management of patients with COPD: a nationwide survey
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Danish general practitioners' management of patients with COPD : a nationwide survey. / Molin, Katrine Rutkaer; Søndergaard, Jens; Lange, Peter; Egerod, Ingrid; Langberg, Henning; Lykkegaard, Jesper.
I: Scandinavian Journal of Primary Health Care, Bind 38, Nr. 4, 2020, s. 391-398 .Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Danish general practitioners' management of patients with COPD
T2 - a nationwide survey
AU - Molin, Katrine Rutkaer
AU - Søndergaard, Jens
AU - Lange, Peter
AU - Egerod, Ingrid
AU - Langberg, Henning
AU - Lykkegaard, Jesper
PY - 2020
Y1 - 2020
N2 - BackgroundIn Denmark, general practitioners (GPs) have the main responsibility for chronic obstructive pulmonary disease (COPD) management. Internationally, COPD appears to be significantly under-treated, which could be explained by 'therapeutic nihilism' or lack of knowledge.AimTo investigate: (1) To what extent COPD management provided by GPs includes the core elements of pharmacological treatment, smoking cessation and physical activity, and (2) To what extent GPs need educational support and consulting with a specialist in pulmonary medicine.DesignA national cross-sectional web-based survey conducted in April-June 2019. The survey included items on COPD management and educational support needs.SettingDanish general practice.SubjectsA population of approximately 3400 GPs (all GPs in Denmark).ResultsWe received response from 470 GPs (14% response rate). Overall, the respondents reported that they offered COPD management including all relevant treatment elements. Smoking cessation was supported in 58% and physical activity was supported in 23% of the respondents. Future consultations on smoking cessation were planned by 35% and physical activity by 15% respondents. GPs responded to 'needing educational support in COPD management' to a 'high degree' in 8% and to 'some degree' in 43%.ConclusionThe survey suggested that COPD maintenance support provided by GPs seemed to be inadequate regarding smoking cessation and physical activity. Moreover, some GPs expressed a need for educational support in COPD management. More research is needed to understand the potential barriers to evidence-based delivery of COPD-management.
AB - BackgroundIn Denmark, general practitioners (GPs) have the main responsibility for chronic obstructive pulmonary disease (COPD) management. Internationally, COPD appears to be significantly under-treated, which could be explained by 'therapeutic nihilism' or lack of knowledge.AimTo investigate: (1) To what extent COPD management provided by GPs includes the core elements of pharmacological treatment, smoking cessation and physical activity, and (2) To what extent GPs need educational support and consulting with a specialist in pulmonary medicine.DesignA national cross-sectional web-based survey conducted in April-June 2019. The survey included items on COPD management and educational support needs.SettingDanish general practice.SubjectsA population of approximately 3400 GPs (all GPs in Denmark).ResultsWe received response from 470 GPs (14% response rate). Overall, the respondents reported that they offered COPD management including all relevant treatment elements. Smoking cessation was supported in 58% and physical activity was supported in 23% of the respondents. Future consultations on smoking cessation were planned by 35% and physical activity by 15% respondents. GPs responded to 'needing educational support in COPD management' to a 'high degree' in 8% and to 'some degree' in 43%.ConclusionThe survey suggested that COPD maintenance support provided by GPs seemed to be inadequate regarding smoking cessation and physical activity. Moreover, some GPs expressed a need for educational support in COPD management. More research is needed to understand the potential barriers to evidence-based delivery of COPD-management.
KW - Chronic obstructive pulmonary disease
KW - general practitioners
KW - management
KW - follow-up
KW - family practice
KW - educational support
KW - SMOKING-CESSATION
KW - DIAGNOSIS
KW - ASTHMA
U2 - 10.1080/02813432.2020.1842964
DO - 10.1080/02813432.2020.1842964
M3 - Journal article
C2 - 33164618
VL - 38
SP - 391
EP - 398
JO - Scandinavian Journal of Primary Health Care
JF - Scandinavian Journal of Primary Health Care
SN - 0281-3432
IS - 4
ER -
ID: 252036001