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• W2092165435 abstract "The evidence that sharing mass care quality data with health service users improves care is weak. We hypothesised that providing patients with individualised care quality data would drive improvements to the care received by those patients. Together with patients who had chronic obstructive pulmonary disease (COPD), we co-designed a quality score card mapping indicators derived from National Institute for Clinical Excellence (NICE) quality standards against matched data taken from their general practice clinical records. All 640 COPD patients from 10 practices had improvements in these indicators before and 3 months after the intervention compared with 595 COPD patients in 10 control practices. Significant improvements in referral to pulmonary rehabilitation (P=0.03) and confirmation of diagnosis with spirometry (P=0.001) were seen in the intervention compared with the control practice population (P<0.001). Increases in the provision of self-management plans were seen in both the groups. No improvement was seen in other indicators. Although the study is not able to prove a direct cause and effect, there is sufficient evidence presented to warrant the larger-scale evaluation of co-designed, personalised, quality score cards for COPD patients used as a tool to enhance care quality. Giving patients with chronic lung disease personalized information that highlights gaps in their treatment can improve their care. Management of patients with chronic obstructive pulmonary disease (COPD) often falls short of recommended evidence-based guidelines. Led by Christopher Roberts from the Queen Mary University of London, the researchers completed scorecards with 640 patients, matching their care against evidence-based guidelines. Patients were encouraged to use their scorecard during their GP visits to negotiate better care with their healthcare team. Results showed patients using the scorecards were more likely than other patients to be referred to pulmonary rehabilitation and to have evidence-based tests to confirm their diagnosis. Giving patients personalized information about their quality of care is a positive factor in developing mutually beneficial partnerships between patients and their healthcare providers, the authors concluded." @default.
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• W2092165435 date "2015-03-26" @default.
• W2092165435 modified "2023-09-30" @default.
• W2092165435 title "Impact of a patient-specific co-designed COPD care scorecard on COPD care quality: a quasi-experimental study" @default.
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• W2092165435 doi "https://doi.org/10.1038/npjpcrm.2015.17" @default.
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