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Nardini S, De Benedetto F, Sanguinetti CM, Bellofiore S, Carlone S, Privitera S, Sagliocca L, Tupputi E, Baccarani C, Caiffa G, Calabrese MC, Capuozzo A, Cauchi S, Conio V, Coratella G, Crismancich F, Dal Negro RW, Dellarole F, Delucchi M, Favaretti C, Forte S, Gallo FM, Giuliano R, Grandi M, Grillo A, Gualano MR, Guffanti E, Locicero S, Lombardo FP, Mantero M, Marasso R, Martino L, Mastroberardino M, Mereu C, Messina R, Neri M, Novelletto BF, Parente P, Pasquinucci S, Pistolesi M, Polverino M, Posca A, Richeldi L, Roccia F, Giustini ES, Salemi M, Santacroce S, Schisano M, Schisano M, Selvi E, Silenzi A, Soverina P, Taranto C, Ugolini M, Visaggi P, Zanasi A. COPD management as a model for all chronic respiratory conditions: report of the 4 th Consensus Conference in Respiratory Medicine. Multidiscip Respir Med 2017; 12:28. [PMID: 29152261 PMCID: PMC5680605 DOI: 10.1186/s40248-017-0109-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Accepted: 10/10/2017] [Indexed: 11/10/2022] Open
Abstract
Background Non-communicable diseases (NCDs) kill 40 million people each year. The management of chronic respiratory NCDs such as chronic obstructive pulmonary disease (COPD) is particularly critical in Italy, where they are widespread and represent a heavy burden on healthcare resources. It is thus important to redefine the role and responsibility of respiratory specialists and their scientific societies, together with that of the whole healthcare system, in order to create a sustainable management of COPD, which could become a model for other chronic respiratory conditions. Methods These issues were divided into four main topics (Training, Organization, Responsibilities, and Sustainability) and discussed at a Consensus Conference promoted by the Research Center of the Italian Respiratory Society held in Rome, Italy, 3–4 November 2016. Results and conclusions Regarding training, important inadequacies emerged regarding specialist training - both the duration of practical training courses and teaching about chronic diseases like COPD. A better integration between university and teaching hospitals would improve the quality of specialization. A better organizational integration between hospital and specialists/general practitioners (GPs) in the local community is essential to improve the diagnostic and therapeutic pathways for chronic respiratory patients. Improving the care pathways is the joint responsibility of respiratory specialists, GPs, patients and their caregivers, and the healthcare system. The sustainability of the entire system depends on a better organization of the diagnostic-therapeutic pathways, in which also other stakeholders such as pharmacists and pharmaceutical companies can play an important role.
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Affiliation(s)
| | | | | | | | | | | | | | - Emmanuele Tupputi
- General Secretary/Treasurer / Italian Respiratory Society-Research Center, Milan, Italy
| | | | | | - Gennaro Caiffa
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | | | | | | | | | | | | | | | | | | | - Silvia Forte
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | | | - Marco Grandi
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | | | | | | | | | - Marco Mantero
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | - Laura Martino
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | - Carlo Mereu
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | | | | | - Paolo Parente
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | | | | | - Agnese Posca
- Italian Respiratory Society - Research Center, Milan, Italy
| | - Luca Richeldi
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | | | | | | | - Mario Schisano
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | - Eleonora Selvi
- Italian Respiratory Society - Research Center, Milan, Italy
| | - Andrea Silenzi
- Italian Respiratory Society - Research Center, Milan, Italy
| | | | | | - Marta Ugolini
- Italian Respiratory Society - Research Center, Milan, Italy
| | - Piero Visaggi
- Italian Respiratory Society - Research Center, Milan, Italy
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