A chronic disease management programme, the airways programme in national healthcare group. Tun, M. H., Ng, F. L., Ng, A., Oh, J., Roslin, N. B., & Neo, L. P. Annals of the Academy of Medicine Singapore, 39(11 SUPPL. 1):S48, 2010.
A chronic disease management programme, the airways programme in national healthcare group [link]Paper  abstract   bibtex   
Background/Hypothesis: Chronic Obstructive Pulmonary Disease (COPD) has been under recognised and stigmatised for many years. Disease exacerbations have devastating consequences on the quality of life (QoL) of COPD patients.The objectives of The Airways Programme (TAP), a disease management programme, are to reduce hospitalisation or readmission, mortality, average length of stay and improve quality of life (QoL) and selfmanagement on a group of enrolled COPD patients in Tan Tock Seng Hospital (TTSH), National Healthcare Group (NHG). Method(s): TAP, a multidisciplinary team, commenced in April 2008. Appropriate COPD patients were recruited into programme by TAP Case managers and the patients enrolled were given education on various aspects of the disease, reinforced on medication compliance and follow-up adherence and managed with telephonic calls. Furthermore, the patients were encouraged to go for influenza and pneumococcal vaccination. The programme management also includes home visit for selected patients to reduce unnecessary readmission and six minute walk test (6MWT) was conducted for effort tolerance and St George's Respiratory Questionnarie (SGRQ) for QoL assessment. Result(s): Among 355 active patients (86% males, 84% Chinese), age above 60 years (89%), (Smokers 21%, Ex-smokers 79%) were actively enrolled over 2 years (April 2008 to March 2010). The disease severity was ranked according to GOLD guideline with Stage 1 and 2(37%) and Stage 3 and 4 (63%), respectively. Forty-two percent (n = 152) of patients completed both baseline, 6 month and 1 year SGRQ. Mean SGRQ score is 33.50 (SD = 18.07) amongst the enrolled active cases. Discussion & Conclusion(s): TAP programme patients' average length of stay (ALOS) over 2 years is 4.4 days. Overall, there is no deterioration in QoL. The data collected will be used as a baseline for future comparison in the programme.
@article{tun_chronic_2010,
	title = {A chronic disease management programme, the airways programme in national healthcare group},
	volume = {39},
	issn = {0304-4602},
	url = {http://www.annals.edu.sg/pdf/39VolNo11SupplNov2010/V39N11(Suppl).pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed11&NEWS=N&AN=71795909},
	abstract = {Background/Hypothesis: Chronic Obstructive Pulmonary Disease (COPD) has been under recognised and stigmatised for many years. Disease exacerbations have devastating consequences on the quality of life (QoL) of COPD patients.The objectives of The Airways Programme (TAP), a disease management programme, are to reduce hospitalisation or readmission, mortality, average length of stay and improve quality of life (QoL) and selfmanagement on a group of enrolled COPD patients in Tan Tock Seng Hospital (TTSH), National Healthcare Group (NHG). Method(s): TAP, a multidisciplinary team, commenced in April 2008. Appropriate COPD patients were recruited into programme by TAP Case managers and the patients enrolled were given education on various aspects of the disease, reinforced on medication compliance and follow-up adherence and managed with telephonic calls. Furthermore, the patients were encouraged to go for influenza and pneumococcal vaccination. The programme management also includes home visit for selected patients to reduce unnecessary readmission and six minute walk test (6MWT) was conducted for effort tolerance and St George's Respiratory Questionnarie (SGRQ) for QoL assessment. Result(s): Among 355 active patients (86\% males, 84\% Chinese), age above 60 years (89\%), (Smokers 21\%, Ex-smokers 79\%) were actively enrolled over 2 years (April 2008 to March 2010). The disease severity was ranked according to GOLD guideline with Stage 1 and 2(37\%) and Stage 3 and 4 (63\%), respectively. Forty-two percent (n = 152) of patients completed both baseline, 6 month and 1 year SGRQ. Mean SGRQ score is 33.50 (SD = 18.07) amongst the enrolled active cases. Discussion \& Conclusion(s): TAP programme patients' average length of stay (ALOS) over 2 years is 4.4 days. Overall, there is no deterioration in QoL. The data collected will be used as a baseline for future comparison in the programme.},
	language = {English},
	number = {11 SUPPL. 1},
	journal = {Annals of the Academy of Medicine Singapore},
	author = {Tun, M. H. and Ng, F. L. and Ng, A. and Oh, J. and Roslin, N. B. and Neo, L. P.},
	year = {2010},
	keywords = {*Singapore, *airway, *chronic disease, *disease management, *health, *health care, St. George Respiratory Questionnaire, case manager, chronic obstructive lung disease, deterioration, disease exacerbation, disease severity, education, follow up, hospital, hospital readmission, human, influenza, length of stay, male, medication compliance, mortality, patient, professional practice, quality of life, smoking, vaccination},
	pages = {S48},
}

Downloads: 0