The Science Journal of the American Association for Respiratory Care

2006 OPEN FORUM Abstracts

NATIONAL LUNG HEALTH EDUCATION PROGRAM (NLHEP)COPD AWARENESS POSTER SURVEY

D E Doherty, MD, G Lawrence, RRT, FAARC, (NLHEP staff), M Calvillo RRT, A Nelson RRT, D Hallmon CRT, C Valdez RRT (UTHSC-SA RT students)

Background: COPD diagnosis is best made with spirometry. Kaminsky et al (Respir Care, 50:12.2005) cited primary care physicians' (PCP) reasons for not doing simple spirometry in their offices (time, staff training, reimbursement, lack of confidence in interpretation, meaning of results).  NLHEP created posters with risk factor questions (smoking history, respiratory symptoms, environmental exposure) for display where people go for health care (pulmonary lab, outpatient clinic, PCP waiting/exam room, health fair). The posters were designed to encourage dialogue between patients and health care professionals about spirometry testing when appropriate. The project was introduced in October 2005 on the NLHEP web site (www.nlhep.org) and  through other groups,  including the AARC. Beginning in February 2006, two surveys to assess impact of this project were introduced - one for NLHEP web site registrants (WS) and one for PCPs in San Antonio, TX (PCPSA). WS respondents (5% RNs, 77% RTs, 3% PL, 2% MD, 13% other) completed it on line. PCPSA respondents were personally surveyed by RT students after agreeing to display posters in their waiting and exam rooms.

 

Responses - Non-PCPs WS (n=362)
         How I will use the posters:  
Give to PCPs 59 (24%)
PulmLab/OP clinic 130 (53%)
Health Fairs 118 (48%)
Other venues 68 (28%)

PCP responses %WS (n=6) %PCPSA (n=12)
Poster attractive/understandable 97 100
Ordered tests based on posters 100 95
Spirometry not useful for COPD dx 0 0
No spirometer in my office 0 50 (6)
No training to do test right 0 50 (6)
Reimbursement is not adequate 17 (1) 17 (2)
Equipment is too costly 0 25 (3)
Uncertain about meaning of results 0 0
My patients at risk do not want test 0 0
I refer testing to lab or specialist 0 83 (10)

Conclusion: While PCP sample size was small in both groups, results indicate that PCP reasons for not doing the test are consistent with Kaminsky study. Non-PCP users should consider sharing posters with PCPs, as PCPSA group reported ordering 56 spirometry tests based on poster display over 4-6 week period studied.

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