| Survey of COPD Management among the Primary Care Physicians in Korea. |
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Myung Jae Park, Cheon Woong Choi, Seung Joon Kim, Young Kyoon Kim, Sung Yong Lee, Kyung Ho Kang, Kyeong Cheol Shin, Kwan Ho Lee, Jin Hwa Lee, Yu Il Kim, Sung Chul Lim, Yong Bum Park, Ki Suck Jung, Tae Hyung Kim, Dong Ho Shin, Jee Hong Yoo |
1Department of Internal Medicine, Kyung Hee University, Seoul, Korea. honglung@chollian.net
2Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.
3Department of Internal Medicine, Korea University, Seoul, Korea.
4Department of Internal Medicine, Yeungnam University, Daegu, Korea.
5Department of Internal Medicine, Ewha Womans University, Seoul, Korea.
6Department of Internal Medicine, Chonnam Univeristy, Gwangju, Korea.
7Department of Internal Medicine, Hallym University, Chuncheon, Korea.
8Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. |
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| Abstract |
BACKGROUND
The incidence of chronic obstructive pulmonary disease (COPD) is increasing and the disease is becoming an important cause of morbidity and mortality worldwide. It is important to implement evidence-based guidelines by primary care physicians (PCPs) to establish qualified management of COPD patients. The aim of this survey is to investigate the pattern of COPD management among PCPs and to apply it to the development of Korean COPD guidelines. METHODS: A web-based questionnaire was prepared that consisted of 25 questions on the pattern of COPD management. A total of 217 PCPs participated in the survey from June 2006 to May 2007. RESULTS: Many PCPs (61.8%) possessed a spirometer, but the application rate was relatively low (35.8%) and more than half of the COPD patients (57%) did not receive a diagnosis based on spirometry. Administration of oral medication was preferred than the administration of inhaled medication for both stable COPD and acutely exacerbated COPD. More than 90% of the PCPs endorsed educational measures to quit smoking and vaccinate against influenza. It was noted that 56.7% of the PCPs were aware of the GOLD guidelines, but only 7.3% tended to fully implement the recommendations of the guidelines in daily practice. CONCLUSION: The results of the survey indicate that despite the high awareness rate of the current COPD guidelines, deficits exist among the PCPs with respect to the diagnosis and treatment of COPD. The results of this survey should be applied for the development of new COPD guidelines in order to decrease the discrepancy between the guidelines and the daily practice of the PCPs. |
| Key Words:
Chronic obstructive pulmonary disease, Health surveys, Guideline |
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