TY - JOUR T1 - Integrated care model between pneumology and primary care: Impact in respiratory diseases control JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - 1979 AU - Joel Francesqui AU - Jacobo Sellarés AU - Nestor Soler AU - Carmen Lucena AU - Cristina Embid AU - Mireia Dalmases AU - Gemma Argemi AU - Joan Ramón Badía AU - Ramón Marrades AU - Ramón Marrades AU - Miquel Ferrer AU - Ignacio Menacho AU - Mónica Gomez AU - Carmen Hernández AU - Joan Escarrabill AU - David Font AU - Alvar Agustí Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/1979.abstract N2 - IntroductionA new model of integrated care was established in our hospital since 2008, in which hospital specialists attend patients in different primary care centers. We assessed the impact of this model in the respiratory diseases management.MethodsRetrospective, observational study comparing 2 care models in the same cohort of patients: conventional (prior model of care by pulmonologists not integrated into primary care teams) and integrated. Different clinical outcomes were analyzed in relation to the management of respiratory diseases.ResultsWe evaluated 545 patients consecutively attended during a period of 6 months, in five primary care centers. The diagnoses that were established after the start of the new model were: COPD (30 %), bronchial asthma (32%), OSAS (7%), bronchiectasis (15 %), chronic cough (1%) and others (25%). The number of registered spirometries increased after the beginning of the new care model (19 % to 68 %, p < 0.001). A change in diagnoses and treatments occurred in 21% and 49% of cases respectively after initiating the new model. After assessing consultations for exacerbations in a period of 2 years before and after the application of the new model , a significant overall reduction in the number of consultations for exacerbation per patient was observed: 1.07 ± 1.40 to 0.88 ± 1.25 (p=0.001).ConclusionsThe implementation of a respiratory care model integrated into primary care improved the follow up of these patients by reducing the overall number of visits for exacerbations, possibly due to the optimization of the diagnosis and treatment.Funded by: Atenció Integral de Salut de Barcelona Esquerra. ER -