Studies on the system construction to ensure the quality of medical care in the practice of chronic obstructive pulmonary disease

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This study was used clinical pathway, which is standardized as a means to ensure the quality of care in COPD. We develop electronic standard care process for patients of COPD based on PCAPS (Patient Conditions Adaptive Path System) by structuralizing the particular experience and knowledge of expert physicians. To visualize the differences between the therapeutic regimens of each medical institution, we investigate the content of treatment of COPD exacerbations, and did benchmark comparison the difference. We found that there is a tendency for prolongedhospitalization when it is struggling to treatment of infection, or if the start ofpulmonary rehabilitation is slow. We surveyed the primary care physicians in regard to the clinical practice of COPD. Confirmed diagnosis of COPD by spirometry and management of exacerbations are difficult for primary care physicians. We need a supporting system for primary care physicians to provide spirometry service and to backup for exacerbation of COPD.