Poster presented at the 2014 Primary Health Care Research Conference, 23-25 July 2014, Canberra, Australi

Ansari, Sameera

Dennis, Sarah

Hosseinzadeh, Hassan

Zwar, Nicholas Arnold

English

Research Online

University of Wollongong Research Online Faculty of Social Sciences - Papers Faculty of Arts, Social Sciences & Humanities 2014 Impact of COPD diagnosis in the face of multi-morbidity: Primary care patients' perspectives Sameera Ansari University of New South Wales Hassan Hosseinzadeh University of Wollongong, hassanh@uow.edu.au Sarah Dennis University of Sydney, sarah.dennis@sydney.edu.au Nicholas Arnold Zwar University of New South Wales, nzwar@uow.edu.au Follow this and additional works at: https://ro.uow.edu.au/sspapers  Part of the Education Commons, and the Social and Behavioral Sciences Commons Recommended Citation Ansari, Sameera; Hosseinzadeh, Hassan; Dennis, Sarah; and Zwar, Nicholas Arnold, "Impact of COPD diagnosis in the face of multi-morbidity: Primary care patients' perspectives" (2014). Faculty of Social Sciences - Papers. 2512. https://ro.uow.edu.au/sspapers/2512 Research Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library: research-pubs@uow.edu.au Impact of COPD diagnosis in the face of multi-morbidity: Primary care patients' perspectives Abstract Poster presented at the 2014 Primary Health Care Research Conference, 23-25 July 2014, Canberra, Australia Keywords morbidity, face, primary, diagnosis, care, copd, patients, impact, perspectives, multi Disciplines Education | Social and Behavioral Sciences Publication Details Ansari, S., Hosseinzadeh, H., Dennis, S. & Zwar, N. (2014). Impact of COPD diagnosis in the face of multi-morbidity: Primary care patients' perspectives. Integrating knowledge exchange to improve primary health care outcomes: 2014 Primary Health Care Research Conference PHCRIS. This conference paper is available at Research Online: https://ro.uow.edu.au/sspapers/2512 Impact of COPD Diagnosis in the face of Multi-morbidity: Primary Care Patients’ Perspectives Sameera Ansari1, Hassan Hosseinzadeh1, Sarah Dennis2, 1, Nicholas Zwar1  1School of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney  2Clinical and Rehabilitation Sciences, Faculty of Health Sciences, The University of Sydney, Sydney  Background • Chronic obstructive pulmonary disease (COPD) is the 4th leading cause of mortality worldwide1 • Presence of co-morbidities may influence experience and management of COPD2 • No prior qualitative study has focused on recently diagnosed primary care COPD patients with multi-morbidity Aims • To explore the impact of a new diagnosis of COPD on primary care patients in the context of multi-morbidity • To gain an insight into patients’ experience of COPD and its prioritisation among other co-morbidities   Methods • Qualitative, descriptive study with maximum variation sampling • Participants were 9 males and 8 females aged 40 - 84 years, based in metropolitan Sydney • Inclusion criteria: COPD diagnosis in past 24 months and at least 1 other co-morbidity • Data was collected via semi-structured interviews • Thematic analysis using a constructivist3 approach induced five core themes    Implications • Patient-centred personalised care plans are needed for COPD in primary care • Acceptance and incorporation of patient perspectives is vital for optimal management of multi-morbidity • Tailored education is necessary to improve knowledge and self-efficacy of COPD and co-morbidities • Primary care is suitable for interventions aimed at activating COPD patients with multi-morbidity  Correspondence Sameera Ansari sameera.ansari@unsw.edu.au School of Public Health and Community Medicine,  Samuels Building, UNSW Australia, Kensington, Sydney, NSW 2052. www.sphcm.med.unsw.edu.au  References 1. Osthoff M, Jenkins C, Leuppi JD. Chronic obstructive pulmonary disease – a treatable disease. Swiss Med Wkly. 2013;143:w13777. 2. Kelly SO, Smith SM, Lane S, Teljeur C, Dowd TO. Chronic respiratory disease and multimorbidity: Prevalence and impact in a general practice setting. Respiratory Medicine 2011;105:236-242. 3. Appleton JV, King L. Journeying from the philosophical contemplation of constructivism to the methodological pragmatics of health services research. Journal of Advanced Nursing 2002;40(6):641–648. Findings • Most participants did not recognise the importance of COPD due to  low awareness of the disease • Self-management capacity of COPD and utilisation of healthcare were suboptimal • For many, the salience of other chronic conditions outweighed that of COPD It was a big shock because the last cigarette I had was back in 1979 P13 (69/F) I’ve had a couple of goes and quitting smoking is a difficult thing…I’ll get there  P17 (56/M) I didn’t realise that I had asthma…the two conditions make things very difficult P6 (84/M) It’s individual, instead of lumping everyone in one group ‘cause everyone is different - P9 (52/F) You try all these treatments, they work for a little while but don’t solve the problem – P7 (66/F)   Published 23rd July 2014 Publications • Diagnosis of COPD in the Face of Multimorbidity,  Patients’ Perspectives (Original research abstract) Respirology Vol 18, S4, 77-78, October 17th 2013. • Patients’ perspectives on impact of COPD diagnosis  in the face of multi-morbidity: a qualitative study (Original research article) Primary Care Respiratory Medicine Vol 24, Article number 14036, 2014. 

Impact of COPD diagnosis in the face of multi-morbidity: Primary care patients\u27 perspectives

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Impact of COPD diagnosis in the face of multi-morbidity: Primary care patients\u27 perspectives

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