Pulmonary Disease, Chronic Obstructive Clinical Trial
Official title:
The Development, Implementation and Evaluation of Clinical Pathways for Chronic Obstructive Pulmonary Disease (COPD) in Saskatchewan
Chronic obstructive pulmonary disease (COPD) has substantial economic and human costs. To
minimize these costs high quality guidelines have been developed. However, development of
guidelines alone rarely results in changes to practice. One method of integrating guidelines
into professional practice is the use of clinical pathways (CPWs).
The investigators are working with local stakeholders to develop CPWs for COPD with the aims
of improving quality of care and guideline adherence while reducing healthcare utilization.
The CPWs will utilize several steps including: standardizing diagnostic training,
implementing and unifying common components of chronic disease care, coordinating the
provision of education and reconditioning programs, and ensuring disease specific care
utilizes and delivers evidence-informed practices. In addition, the investigators have worked
to identify evidence-informed strategies for the implementation of the CPWs. Efforts are
underway to tailor these implementation strategies for the local context.
The investigators will conduct a three-year quantitative health services research project
using an interrupted time series (ITS) design in the form of a multiple baseline approach
with control groups. The CPW will be implemented in two Saskatchewan health regions
(experimental groups) and two health regions will act as controls (control groups). The
experimental and control groups will each contain one urban and one rural health region.
This project is expected to improve quality of life and reduce healthcare utilization. The
project will also provide evidence on the effects of CPWs in both urban and rural settings.
If the pathways are found effective the investigators will work with all stakeholders to
implement similar CPWs for the remaining health regions in the province.
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