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Abstract
Original Article
A survey of chronic obstructive pulmonary disease patients managed via a coordinated system in the western area of Yokohama
Hiromi Muraokaa,b Takahiro Tsuburaia,b Yuko Komasea Shotaro Kanekoa,b Satoshi Tanakaa,b Makoto Nishidaa,b Junko Uenoa,b Aya Matsushimaa,b Yusuke Shinozakia,b Kazuhiro Nishiyamaa,b Yoshihiro Nishia,b Yu Numataa,b Hajime Tsuruokaa,b Baku Oyamaa,b Naoya Hidaa Masamichi Mineshitab Takeo Inouea
aDepartment of Respiratory Medicine, St. Marianna University Yokohama Seibu Hospital
bDepartment of Respiratory Medicine, St. Marianna University School of Medicine
ABSTRACT
In the western area of Yokohama City, St. Marianna University Yokohama Seibu Hospital established a coordinated care system with 52 primary care clinics to manage patients with chronic obstructive pulmonary disease (COPD). In this study, we surveyed 114 COPD patients who attended our hospital between January 2013 and March 2020 and were managed via the coordinated care system. Of the 114 COPD patients, 98 (86.0%) were in GOLD Stage I or II. In the first 2 years, 54 (47.4%) patients continued with management via the coordinated care system, 29 (25.4%) completed treatment under coordinated care management, and 31 (27.2%) dropped out of the coordinated care system. Compared with asthma, patients with COPD are more often hospitalized, experience exacerbations, or both, so it was considered important to continue COPD management via the coordinated care system with primary care clinics.
KEYWORDS
Chronic obstructive pulmonary disease (COPD) Coordinated care system
Received 17-Oct-24 ／ Accepted 19-Dec-24
AJRS, 14(2): 49-56, 2025
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