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Comparison of COPD primary care in England, Scotland, Wales, and Northern Ireland

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Title: Comparison of COPD primary care in England, Scotland, Wales, and Northern Ireland
Authors: Stone, P
Hickman, K
Holmes, S
Feary, J
Quint, J
Item Type: Journal Article
Abstract: Currently the National Asthma and COPD audit programme (NACAP) only undertakes audit of COPD primary care in Wales due to its near complete data coverage. We aimed to determine if the quality of COPD primary care in the other UK nations is comparable with Wales. We found that English, Scottish, and Northern Irish practices were significantly worse than Welsh practices at recording coded lung function parameters used in COPD diagnosis (ORs: 0.51 [0.43–0.59], 0.29 [0.23–0.36], 0.42 [0.31–0.58], respectively) and referring appropriate patients for pulmonary rehabilitation (ORs: 0.10 [0.09–0.11], 0.12 [0.11–0.14], 0.22 [0.19–0.25], respectively). Completing national audits of primary care in Wales only may have led to improvements in care, or at least improvements in the recording of care in Wales that are not occurring elsewhere in the UK. This highlights the potential importance of audit in improving care quality and accurate recording of that care.
Issue Date: 25-Oct-2022
Date of Acceptance: 29-Sep-2022
URI: http://hdl.handle.net/10044/1/100298
DOI: 10.1038/s41533-022-00305-8
ISSN: 2055-1010
Publisher: Nature Research
Journal / Book Title: npj Primary Care Respiratory Medicine
Volume: 32
Copyright Statement: © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Sponsor/Funder: The Health Foundation
Funder's Grant Number: 667005
Keywords: Humans
Northern Ireland
Primary Health Care
Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive
Primary Health Care
Northern Ireland
Publication Status: Published
Article Number: ARTN 46
Appears in Collections:National Heart and Lung Institute

This item is licensed under a Creative Commons License Creative Commons