Soins intégrés BPCO (Broncho-pneumopathie Chronique Obstructive) en Valais - Mieux Vivre Avec ma BPCO (COPD Integrated Care Program Valais - Living Well With COPD)
Chronic Obstructive Pulmonary Disease (COPD)
About this trial
This is an interventional health services research trial for Chronic Obstructive Pulmonary Disease (COPD) focused on measuring COPD, Pulmonary disease, chronic obstructive, Integrated care, Outcome and process assessment, Quality indicators, Health care, Self-management,, Patient empowerment, Quantitative and qualitative methods
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of COPD (GOLD stage 1-symptomatic to 4)
- Age >= 35 years
- Residing in the canton of Valais Switzerland, non-institutionalized
- Informed consent
Exclusion Criteria:
- Hospitalization during previous 4 weeks
- Pulmonary rehabilitation during past 18 months
- Estimated life expectancy < 12 months
- Obvious cognitive impairment
- Not speaking or understanding French well enough
Sites / Locations
- Centre Valaisan de Pneumologie, Centre Hospitalier du Centre du Valais
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
COPD integrated care
Usual care
The intervention will target COPD integrated care, and include a combination of patient-related, professional and organizational elements. It will be centered on patients' needs and focus on self-management education, proactive follow-up (scheduled visits and/or phone contacts), team work, healthcare professionals' training, promotion of pulmonary rehabilitation, physical activity and smoking cessation.
Usual COPD care