Physician and patient perceptions in COPD: The COPD Resource Network Needs Assessment Survey

R. Graham Barr, Bartolome R. Celli, Fernando J. Martinez, Andrew L. Ries, Stephen I. Rennard, John J. Reilly, Frank C. Sciurba, Byron M. Thomashow, Robert A. Wise

Research output: Contribution to journalArticle

109 Citations (Scopus)

Abstract

PURPOSE: Chronic obstructive pulmonary disease (COPD), the fourth leading cause of death in the United States, has received disproportionately little attention from physicians and institutions. National data are lacking on patient and physician perceptions of and patterns of care for COPD. METHODS: Linked surveys were administered to national samples of patients with COPD, primary care physicians, and pulmonologists to evaluate perceptions of COPD severity and quality of life, attitudes about COPD, health insurance barriers to COPD care, sources of information, and knowledge about COPD diagnosis and treatment. RESULTS: Overall, 1023 patients with COPD and 1051 primary care physicians and pulmonologists responded to the surveys. Despite experiencing significant symptoms and high health care use, the majority of patients were satisfied with their care. Eighty-eight percent of physicians agreed with the statement that COPD is a "self-inflicted" disease, and more than one third were nihilistic about the treatment of patients who continued to smoke. Patients and physicians reported that insurance problems impeded access to therapies. Patients were generally uninformed about COPD; 54% of primary care physicians were aware of any COPD guidelines. Both patient and physician surveys demonstrated continued confusion about the diagnosis of COPD and treatment choices. There was frequent use of regular oral steroids despite demonstrated lack of efficacy and under-use of pulmonary rehabilitation despite proven efficacy. CONCLUSIONS: Patients with COPD have a high prevalence of activity limitations. Although most physicians believed that proper treatment can slow progression, inadequate knowledge and poor adherence to practice guidelines, together with insurance impediments, negatively impact COPD care.

Original languageEnglish (US)
Pages (from-to)1415.e9-1415.e17
JournalAmerican Journal of Medicine
Volume118
Issue number12
DOIs
StatePublished - Dec 2005

Fingerprint

Needs Assessment
Chronic Obstructive Pulmonary Disease
Physicians
Primary Care Physicians
Surveys and Questionnaires
Insurance
Therapeutics
Health Insurance
Practice Guidelines
Smoke
Cause of Death

Keywords

  • Chronic obstructive pulmonary disease
  • Compliance
  • Guideline adherence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Barr, R. G., Celli, B. R., Martinez, F. J., Ries, A. L., Rennard, S. I., Reilly, J. J., ... Wise, R. A. (2005). Physician and patient perceptions in COPD: The COPD Resource Network Needs Assessment Survey. American Journal of Medicine, 118(12), 1415.e9-1415.e17. https://doi.org/10.1016/j.amjmed.2005.07.059

Physician and patient perceptions in COPD : The COPD Resource Network Needs Assessment Survey. / Barr, R. Graham; Celli, Bartolome R.; Martinez, Fernando J.; Ries, Andrew L.; Rennard, Stephen I.; Reilly, John J.; Sciurba, Frank C.; Thomashow, Byron M.; Wise, Robert A.

In: American Journal of Medicine, Vol. 118, No. 12, 12.2005, p. 1415.e9-1415.e17.

Research output: Contribution to journalArticle

Barr, RG, Celli, BR, Martinez, FJ, Ries, AL, Rennard, SI, Reilly, JJ, Sciurba, FC, Thomashow, BM & Wise, RA 2005, 'Physician and patient perceptions in COPD: The COPD Resource Network Needs Assessment Survey', American Journal of Medicine, vol. 118, no. 12, pp. 1415.e9-1415.e17. https://doi.org/10.1016/j.amjmed.2005.07.059
Barr, R. Graham ; Celli, Bartolome R. ; Martinez, Fernando J. ; Ries, Andrew L. ; Rennard, Stephen I. ; Reilly, John J. ; Sciurba, Frank C. ; Thomashow, Byron M. ; Wise, Robert A. / Physician and patient perceptions in COPD : The COPD Resource Network Needs Assessment Survey. In: American Journal of Medicine. 2005 ; Vol. 118, No. 12. pp. 1415.e9-1415.e17.
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