Solutions to Improve COPD Patients’ Clinical Outcomes and Quality of Care: Recommendations From the CARABELA Initiative

Q4 Medicine
Jesús Díez-Manglano , Inmaculada Mediavilla , Javier de Miguel-Diez , Luciano Escudero , the CARABELA-COPD Scientific Committee
{"title":"Solutions to Improve COPD Patients’ Clinical Outcomes and Quality of Care: Recommendations From the CARABELA Initiative","authors":"Jesús Díez-Manglano ,&nbsp;Inmaculada Mediavilla ,&nbsp;Javier de Miguel-Diez ,&nbsp;Luciano Escudero ,&nbsp;the CARABELA-COPD Scientific Committee","doi":"10.1016/j.opresp.2025.100484","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic obstructive pulmonary disease (COPD) remains a priority in clinical practice, but it still presents gaps in care coordination, diagnosis, and treatment that have tangible impact on patients’ outcomes. The CARABELA-COPD previously identified key improvement areas within the Spanish healthcare system, setting the foundation for enhanced COPD care. As a continuation of the initiative, this document presents expert-driven recommendations to improve COPD care in the Spanish healthcare system.</div></div><div><h3>Material and methods</h3><div>The CARABELA-COPD methodology involved seven pilot hospitals across Spain and included national and regional expert meetings. Through thematic discussions and prioritization exercises, key areas for COPD care improvement were identified and refined. This manuscript summarizes the resulting recommendations for the areas prioritized by the experts.</div></div><div><h3>Results</h3><div>The proposed strategies emphasize the importance of early detection, optimizing healthcare resource use, and implementing standardized care pathways to ensure a more uniform and effective management of the disease. Specific focus is placed on the role of specialized nursing, ensuring smooth transitions between levels of care, and integrating digital tools to facilitate clinical decisions.</div></div><div><h3>Conclusions</h3><div>These recommendations are intended to close the gap between evidence-based guidelines and real clinical practice, so that every patient receives high-quality individualized care. Through collaboration between healthcare professionals, scientific societies, and policymakers, CARABELA-COPD seeks to reduce disparities in care, enhance system effectiveness, and ultimately improve quality of life for patients with COPD.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 4","pages":"Article 100484"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Respiratory Archives","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2659663625000888","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

Chronic obstructive pulmonary disease (COPD) remains a priority in clinical practice, but it still presents gaps in care coordination, diagnosis, and treatment that have tangible impact on patients’ outcomes. The CARABELA-COPD previously identified key improvement areas within the Spanish healthcare system, setting the foundation for enhanced COPD care. As a continuation of the initiative, this document presents expert-driven recommendations to improve COPD care in the Spanish healthcare system.

Material and methods

The CARABELA-COPD methodology involved seven pilot hospitals across Spain and included national and regional expert meetings. Through thematic discussions and prioritization exercises, key areas for COPD care improvement were identified and refined. This manuscript summarizes the resulting recommendations for the areas prioritized by the experts.

Results

The proposed strategies emphasize the importance of early detection, optimizing healthcare resource use, and implementing standardized care pathways to ensure a more uniform and effective management of the disease. Specific focus is placed on the role of specialized nursing, ensuring smooth transitions between levels of care, and integrating digital tools to facilitate clinical decisions.

Conclusions

These recommendations are intended to close the gap between evidence-based guidelines and real clinical practice, so that every patient receives high-quality individualized care. Through collaboration between healthcare professionals, scientific societies, and policymakers, CARABELA-COPD seeks to reduce disparities in care, enhance system effectiveness, and ultimately improve quality of life for patients with COPD.

Abstract Image

改善慢性阻塞性肺病患者临床结果和护理质量的解决方案:来自CARABELA倡议的建议
慢性阻塞性肺疾病(COPD)在临床实践中仍然是一个重点,但它在护理协调、诊断和治疗方面仍然存在差距,这对患者的预后有切实的影响。CARABELA-COPD先前确定了西班牙医疗保健系统中的关键改进领域,为加强COPD护理奠定了基础。作为该倡议的延续,本文件提出了专家驱动的建议,以改善西班牙医疗保健系统中的COPD护理。材料和方法CARABELA-COPD方法涉及西班牙的七家试点医院,包括国家和地区专家会议。通过专题讨论和优先排序练习,确定并细化了改善慢性阻塞性肺病护理的关键领域。这份手稿总结了专家们优先考虑的领域的建议。结果提出的策略强调早期发现、优化医疗资源利用和实施标准化护理途径的重要性,以确保对疾病进行更统一和有效的管理。特别关注专业护理的作用,确保护理水平之间的顺利过渡,并整合数字工具以促进临床决策。结论这些建议旨在缩小循证指南与实际临床实践之间的差距,使每位患者都能获得高质量的个性化护理。通过医疗保健专业人员、科学学会和政策制定者之间的合作,CARABELA-COPD旨在减少护理方面的差异,提高系统有效性,并最终改善COPD患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Open Respiratory Archives
Open Respiratory Archives Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.10
自引率
0.00%
发文量
58
审稿时长
51 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信