Optimising respiratory integrated care services
Research type
Research Study
Full title
Understanding the optimal configuration of respiratory integrated care services
IRAS ID
348217
Contact name
Alice Turner
Contact email
Sponsor organisation
University of Birmingham
Duration of Study in the UK
1 years, 0 months, 25 days
Research summary
Respiratory diseases affect one in five people in England, making them a key priority. Integrated respiratory services, where Doctors, Nurses and other Healthcare Professionals (HCPs) with specialist skills in respiratory medicine work together across healthcare settings to provide pro-active patient-centred care and specialist support, are one way to provide care for these patients.
This project aims to use multiple elements described below to help determine the important factors for the design and delivery of an optimal integrated respiratory service, to inform and improve the services we offer our patients in Birmingham.
1. A systematic review of the literature will describe models of integrated care for respiratory conditions. This will set the context for other work packages in the study by providing an understanding of current practice.
2. An additional analysis of data on patient hospital admissions collected in a previous research study (INTEGR COPD) will be undertaken. The INTEGR COPD study showed that Chronic Obstructive Pulmonary Disease (COPD) management guideline adherence can be improved by integrating a respiratory specialist into primary care to undertake COPD annual reviews but found a higher rate of hospital admissions in the group seen by a specialist (intervention group). This finding needs further analysis to understand the reasons for this and what it means for the design of effective specialist-led respiratory services.
3. Interviews with clinicians from other UK integrated respiratory services will be undertaken to understand the factors involved in design and delivery of integrated respiratory care. Trainee respiratory specialists and allied HCPs will be surveyed to understand the training requirements and experiences of integrated care.
4. The impact of two different tools to identify patients at high risk of COPD exacerbations will be evaluated. Interviews with local staff and patients will assess the benefits and challenges experienced as new integrated services are established.REC name
London - Fulham Research Ethics Committee
REC reference
24/PR/1523
Date of REC Opinion
30 Dec 2024
REC opinion
Further Information Favourable Opinion