Back to Journals » International Journal of Chronic Obstructive Pulmonary Disease » Volume 10 » Issue 1

Case finding for COPD in primary care: a qualitative study of the views of health professionals

Authors Haroon S, Jordan RE, Fitzmaurice DA, Adab P

Received 9 March 2015

Accepted for publication 16 April 2015

Published 28 August 2015 Volume 2015:10(1) Pages 1711—1718

DOI https://doi.org/10.2147/COPD.S84247

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Editor who approved publication: Dr Richard Russell

Video abstract presented by Shamil Haroon

Views: 112

Shamil Haroon, Rachel E Jordan, David A Fitzmaurice, Peymane Adab

School of Health and Population Sciences, University of Birmingham, Edgbaston, Birmingham, UK

Background: Chronic obstructive pulmonary disease (COPD) is common but largely underdiagnosed. Case-finding initiatives have been evaluated in primary care, but few studies have explored the views of service providers on implementing them in practice.
Aim: To explore the views of primary health care providers on case finding for COPD.
Methods: A total of 20 semi-structured interviews were conducted from March 2014 to September 2014 among general practitioners, nurses, and managers from practices participating in a large COPD case-finding trial based in primary care in the West Midlands, UK. Participants’ views were sought to explore perceived benefits, harms, barriers, and facilitators to implementing COPD case finding in practice. Interviews were transcribed and analyzed using the framework method.
Results: Participants felt that case finding improves patient care but also acknowledged potential harms to providers (increase in workload) and to patients (overdiagnosis). Insufficient resources, poor knowledge of COPD, and limited access to diagnostic services were viewed as barriers to diagnosis, while provision of community respiratory services, including COPD specialist nurses, and support from secondary care were thought to be facilitators. Participants also expressed a need for more education on COPD for both patients and clinicians.
Conclusion: Care providers believe that early detection of COPD improves patient care but also has accompanying harms. Barriers to diagnosing COPD, such as insufficient expertise in primary care and limited access to diagnostic services in the community, should be explored and addressed. The knowledge and attitudes of the public about COPD and its symptoms should also be investigated to inform future education and awareness-raising strategies.

Keywords: chronic obstructive pulmonary disease, primary care, diagnosis, qualitative research

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Readers of this article also read:

Benzodiazepine use in COPD: empirical evidence from Norway

Halvorsen T, Martinussen PE

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1695-1702

Published Date: 27 August 2015

Efficacy and safety of the long-acting β2-agonist olodaterol over 4 weeks in Japanese patients with chronic obstructive pulmonary disease

Ichinose M, Takizawa A, Izumoto T, Tadayasu Y, Hamilton AL, Kunz C, Fukuchi Y

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1673-1683

Published Date: 20 August 2015

Differences in the use of spirometry between rural and urban primary care centers in Spain

Márquez-Martín E, Soriano JB, Calle Rubio M, Lopez-Campos JL

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1633-1639

Published Date: 17 August 2015

Comorbidities in obstructive lung disease in Korea: data from the fourth and fifth Korean National Health and Nutrition Examination Survey

Park HJ, Leem AY, Lee SH, Song JH, Park MS, Kim YS, Kim SK, Chang J, Chung KS

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1571-1582

Published Date: 7 August 2015

Constant-load exercise decreases the serum concentration of myeloperoxidase in healthy smokers and smokers with COPD

Holz O, Roepcke S, Watz H, Tegtbur U, Lahu G, Hohlfeld JM

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1393-1402

Published Date: 21 July 2015

Clinical significance of laryngopharyngeal reflux in patients with chronic obstructive pulmonary disease

Jung YH, Lee DY, Kim DW, Park SS, Heo EY, Chung HS, Kim DK

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1343-1351

Published Date: 15 July 2015