Table 3.
Domain | Type of assessment/outcomes | Pre-ICP implementation | Post-ICP implementation | Concurrent comparator group in COPD disease management registry |
---|---|---|---|---|
Baseline demographics | Age, race, gender, nationality, postal code | ✓ | ✓ | ✓ |
Disease | Disease type, disease duration | ✓ | ✓ | ✓ |
Social-economics | Medisave, Medifund, Medical social worker referral | ✓ | ✓ | ✓ |
Programme management | Programme enrolment date | ✓(baseline) | x | x |
Quality of life | CAT score | ✓(baseline) | ✓ | x |
Smoking history | Smoking status, number of years of smoking | ✓ | ✓ | ✓ |
Key care elements | Refer to table 1 | ✓(baseline) | ✓ | ✓ |
Disease severity (based on medication use) | Refer to the 2011 GOLD guidelines summary9 | ✓ | ✓ | ✓ |
Comorbidities and complication | Asthma | ✓ | ✓ | ✓ |
Depression | ✓ | ✓ | ✓ | |
Congestive heart failure | ✓ | ✓ | ✓ | |
Diabetes | ✓ | ✓ | ✓ | |
Hypertension | ✓ | ✓ | ✓ | |
CKD stage 3–5 | ✓ | ✓ | ✓ | |
Stroke | ✓ | ✓ | ✓ | |
Dyslipidaemia | ✓ | ✓ | ✓ | |
Obesity | ✓ | ✓ | ✓ | |
Others | ✓ | ✓ | ✓ | |
COPD-related health service utilisation | Hospitalisation, average length of stay | ✓ | ✓ | ✓ |
Number of encounters | Emergency department attendance | ✓ | ✓ | ✓ |
Specialist outpatient visit | ✓ | ✓ | ✓ | |
Primary care visit | ✓ | ✓ | ✓ | |
COPD-related cost (DRG) | Direct cost | ✓ | ✓ | ✓ |
Indirect cost | ✓ | ✓ | ✓ | |
Mortality | Rate of mortality | ✓ | ✓ | ✓ |
Qualitative measures | Patient assessment of chronic illness care | ✓ | ✓ | x |
CAT, COPD assessment test; CKD, chronic kidney disease; COPD-ICP, chronic obstructive pulmonary disease-integrated care pathway; DRG, diagnosis-related group.