Respiratory Medicine
Volume 104, Issue 3 , Pages 404-411 , March 2010

COPD health care in Sweden – A study in primary and secondary care

  • Claes-Göran Löfdahl

      Affiliations

    • Department of Respiratory Medicine and Allergology, Lund University Hospital, SE-222 41 Lund, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 46 17 12 06; fax: +46 46 14 67 93.
    • ,
  • Björn Tilling

      Affiliations

    • Health Care Centre, Primary care, SE-597 26 Åtvidaberg, Sweden
    • ,
  • Tommy Ekström

      Affiliations

    • AstraZeneca Sverige, SE-151 85 Södertälje, Sweden
    • ,
  • Leif Jörgensen

      Affiliations

    • AstraZeneca Sverige, SE-151 85 Södertälje, Sweden
    • ,
  • Gunnar Johansson

      Affiliations

    • Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology, Uppsala University, SE-751 85 Uppsala, Sweden
    • ,
  • Kjell Larsson

      Affiliations

    • Unit of Lung and Allergy Research, The National Institute of Environmental Medicine, Karolinska Institutet, SE-171 77 Stockholm, Sweden

Received 9 January 2009 ,Accepted 9 October 2009.

References 

  1. Siafakas NM, Vermeire P, Pride NB, et al. Optimal assessment and management of chronic obstructive pulmonary disease (COPD). The European Respiratory Society Task Force. Eur Respir J. 1995 Aug;8(8):1398–1420
  2. Global Initiative for Chronic Obstructive Lung Disease . Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. 2007. National Institute of Health, National Heart, Lung, and Blood Institute; 2007;
  3. Mannino DM, Gagnon RC, Petty TL, Lydick E. Obstructive lung disease and low lung function in adults in the United States: data from the National Health and Nutrition Examination Survey, 1988–1994. Arch Intern Med. 2000 Jun 12;160(11):1683–1689
  4. Shahab L, Jarvis MJ, Britton J, West R. Prevalence, diagnosis and relation to tobacco dependence of chronic obstructive pulmonary disease in a nationally representative population sample. Thorax. 2006 Dec;61(12):1043–1047
  5. Sundblad B-M, Larsson K, Nathell L. Low awareness of COPD among physicians. Clin Respir J. 2008;2:11–16
  6. Robert Wood Johnson Foundation . Improving chronic illness care. http://wwwimprovingchroniccareorg2005;
  7. Adams SG, Smith PK, Allan PF, Anzueto A, Pugh JA, Cornell JE. Systematic review of the chronic care model in chronic obstructive pulmonary disease prevention and management. Arch Intern Med. 2007 Mar 26;167(6):551–561
  8. Socialstyrelsen . Socialstyrelsens riktlinjer för vård av astma och kronikst obstruktiv lungsjukdom (KOL). Faktadokument och beslutsstöd för prioriteringar. 2004;Socialstyrelsen; 2004
  9. Buist AS, McBurnie MA, Vollmer WM, et al. International variation in the prevalence of COPD (the BOLD Study): a population-based prevalence study. Lancet. 2007 Sep 1;370(9589):741–750
  10. Swedish Sociaty of Respiratory Medicine . National guidelines for COPD. http://www.slmf.se/kol2006;(in Swedish)
  11. Statistics Sweden (Statistiska Centralbyrån) . Last accessed http://www.scb.seJune 2008;
  12. Lindberg A, Jonsson AC, Ronmark E, Lundgren R, Larsson LG, Lundback B. Prevalence of chronic obstructive pulmonary disease according to BTS, ERS, GOLD and ATS criteria in relation to doctor's diagnosis, symptoms, age, gender, and smoking habits. Respiration; International Review of Thoracic Diseases. 2005 Sep-Oct;72(5):471–479
  13. Hofer TP, Asch SM, Hayward RA, et al. Profiling quality of care: Is there a role for peer review?. BMC Health Serv Res. 2004 May 19;4(1):9
  14. Kerr EA, Hofer TP, Hayward RA, et al. Quality by any other name?: a comparison of three profiling systems for assessing health care quality. Health Serv Res. 2007 Oct;42(5):2070–2087
  15. Hayward RA, Asch SM, Hogan MM, Hofer TP, Kerr EA. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005 Aug;20(8):686–691
  16. Weinberg N. Using performance measures to identify plans of action to improve care. Jt Comm J Qual Improv. 2001 Dec;27(12):683–688
  17. Seddon ME, Marshall MN, Campbell SM, Roland MO. Systematic review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand. Qual Health Care. 2001 Sep;10(3):152–158
  18. Lisspers K, Ställberg B, Arne M, Johansson G, Svärdsudd K, Janson C. Is COPD diagnosis in primary care performed according to guidelines?. Eur Respir J. 2007;30(suppl:778s):
  19. Thorn J, Norrhall M, Larsson Rm, Curiac D, Axelsson G, Ammon C, et al. Management of chronic obstructive pulmonary disease(COPD) in primary care: a questionnaire survey in western Sweden. Prim Care Respir J. 2008;17:26–31
  20. Lisspers K, Ställberg B, Hasselgren M, Johansson G, Svärdsudd K. Organisation of asthma care in primary health care in Mid-Sweden. Primary Care Resp J. 2005 Jun;14(3):147–153
  21. Celli BR, Cote CG, Marin JM, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004 Mar 4;350(10):1005–1012
  22. Coultas D, Frederick J, Barnett B, Singh G, Wludyka P. A randomized trial of two types of nurse-assisted home care for patients with COPD. Chest. 2005 Oct;128(4):2017–2024
  23. Gallefoss F, Bakke PS. Impact of patient education and self-management on morbidity in asthmatics and patients with chronic obstructive pulmonary disease. Respir Med. 2000 Mar;94(3):279–287
  24. Walters JA, Hansen EC, Johns DP, Walters EH, Blizzard L, Wood-Baker R. A mixed methods study to compare models of spirometry delivery in primary care for patients at risk of chronic obstructive pulmonary disease. Thorax. 2007 Nov 16;
  25. Lindberg A, Bjerg A, Rönmark E, Larsson LG, Lundbäck B. Prevalence and underdiagnosis of COPD by disease severity and the attributable fraction of smoking. Report from the Obstructive Lung Diseases in Northern Sweden Studies. Respir Med. 2006;100:264–272

PII: S0954-6111(09)00328-X

doi: 10.1016/j.rmed.2009.10.007

Respiratory Medicine
Volume 104, Issue 3 , Pages 404-411 , March 2010

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