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Care delivery pathways for Chronic Obstructive Pulmonary Disease in England and the Netherlands: a comparative study.

Authors :
Utens, Cecile M. A.
Maarse, J. A. M.
Van Schayck, Onno C. P.
Maesen, Boudewijn L. P.
Rutten, Maureen P. M. H.
Smeenk, Frank W. J. M.
Source :
International Journal of Integrated Care (IJIC); Apr-Jun2012, Vol. 12, p1-9, 9p
Publication Year :
2012

Abstract

Introduction: A remarkable difference in care delivery pathways for Chronic Obstructive Pulmonary Disease (COPD) is the presence of hospital- at-home for COPD exacerbations in England and its absence in the Netherlands. The objective of this paper is to explain this difference. Methods: Descriptive COPD statistics and care delivery pathways on all care levels within the institutional context, followed by a comparison of care delivery pathways and an explanation of the difference with regard to hospital-at-home. Results: The Netherlands and England show broad similarities in their care delivery pathways for COPD patients. A major difference is the presence of hospital-at-home for COPD exacerbations in England and its absence in the Netherlands. Three possible explanations for this difference are presented: differences in the urgency for alternatives (higher urgency for alternative treatment models in England), the differences in funding (funding in England facilitated the development of hospital-at-home) and the differences in the substitution of tasks to nurses (substitution to nurses has taken place to a larger extent in England). Discussion and Conclusion: The difference between the Netherlands and England regarding hospital-at-home for COPD exacerbations can be explained in three ways. Hospital-at-home has proved to be a safe alternative for hospital care for selected patients, and should be considered as a treatment option for COPD exacerbations in the Netherlands. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15684156
Volume :
12
Database :
Complementary Index
Journal :
International Journal of Integrated Care (IJIC)
Publication Type :
Academic Journal
Accession number :
82573899