RT Journal Article
SR Electronic
T1 Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery
JF BMJ Open Respiratory Research
JO BMJ Open Resp Res
FD British Thoracic Society
SP e000817
DO 10.1136/bmjresp-2020-000817
VO 8
IS 1
A1 Frances Wu
A1 Jenni Burt
A1 Teena Chowdhury
A1 Raymond Fitzpatrick
A1 Graham Martin
A1 Jan W van der Scheer
A1 John R Hurst
YR 2021
UL http://bmjopenrespres.bmj.com/content/8/1/e000817.abstract
AB Introduction The COVID-19 pandemic has impacted specialty chronic obstructive pulmonary disease (COPD) care. We examined the degree to which care has moved to remote approaches, eliciting clinician and patient perspectives on what is appropriate for ongoing remote delivery.Methods Using an online research platform, we conducted a survey and consensus-building process involving clinicians and patients with COPD.Results Fifty-five clinicians and 19 patients responded. The majority of clinicians felt able to assess symptom severity (n=52, 95%), reinforce smoking cessation (n=46, 84%) and signpost to other healthcare resources (n=44, 80%). Patients reported that assessing COPD severity and starting new medications were being addressed through remote care. Forty-three and 31 respondents participated in the first and second consensus-building rounds, respectively. When asked to rate the appropriateness of using remote delivery for specific care activities, respondents reached consensus on 5 of 14 items: collecting information about COPD and overall health status (77%), providing COPD education and developing a self-management plan (74%), reinforcing smoking cessation (81%), deciding whether patients should seek in-person care (72%) and initiating a rescue pack (76%).Conclusion Adoption of remote care delivery appears high, with many care activities partially or completely delivered remotely. Our work identifies strengths and limitations of remote care delivery.