TITLE:
Outcomes and Cost Effectiveness of a Respiratory Coordinated Care Program in Patients with Severe or Very Severe COPD
AUTHORS:
Shahila Aslam, Johnathan Man, Jason Behary, John Riskallah, Saidul Ansary, Benjamin CH Kwan
KEYWORDS:
Chronic Obstructive Pulmonary Disease, Cost-Effectiveness Analysis, Hospitalization, Length of Stay, Model of Care
JOURNAL NAME:
Open Journal of Respiratory Diseases,
Vol.6 No.3,
August
26,
2016
ABSTRACT: Multidisciplinary community coordinated care programs are widely adopted to optimise care of
chronic disease patients, but there is a need for further evaluation in the setting of COPD. This observational
study evaluated 147 patients with severe or very severe COPD who were enrolled in a
multidisciplinary community respiratory coordinated care program (RCCP) from 2007 to 2012.
Comparison was made of hospitalisation rates and length of stay for 12 months prior to joining the
program, and the first 12 months after joining the program. This data was used to inform a cost
analysis. Enrolment into RCCP halved the annual hospital admission rate from 1.18 to 0.57 admissions
per year (relative risk reduction 51.4%, p