1. COPD in the Master Plan for Respiratory Diseases (PDMAR) Barcelona, 16th June 2010 Joan Escarrabill, MD Institut d’Estudis de la Salut Barcelona
2. Joan Escarrabill, MD Institut d’Estudis de la Salut Carme Hernández, RN Hospital Clínic Mª Antònia Llauger, MD CAP Maragall Núria Roger, MD Consorci Hospitalari de Vic Ricard Tresserras, MD Direcció General de Planificació i Avaluació Ms. Alba Rosas Direcció General de Planificació i Avaluació Esteve Saltó, MD Direcció General de Salut Pública Josep Jiménez, MD CatSalut
11. Objetivo general 1 Reducir la incidencia de la EPOC Objetivos Específicos de prevención primaria:
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14. Advisory Council President Steering Committee Director Proposes criteria Define actions Evaluation Working groups Projects Med Clin (Barc). 2008;131(Supl 4):42-6
15. Advisory Council Josep Ma Antó, MD Steering Committee Joan Escarrabill, MD Proposes criteria Define actions Evaluation Working groups Projects Med Clin (Barc). 2008;131(Supl 4):42-6
16. Bias to avoid Chronic diseases Participation Teams Networks Metropolitan perspective Weight of the vision macro and academic Specialist’s vision without the Primary Care perspective Medical vision without sharing with nursing and physiotherapy Importance of acute problems Social class Focus on adults Gender (patients and health professionals)
19. Provision of services The designer of the plan is not responsible for the provision of health services Responsibles for the provision of health services
27. Training of professionals who carry out spirometry In more than half the cases there is no formal training Fuente:. Encuesta Espirometrías Hospitales PDMAR 2009
28. Workshop on sleep disorders March 17th, 2010 > 50.000 CPAP users 667,9 patients x 10 6 hab. 0,7% of the population
33. Activities around the spirometry Palamós, 30/11 y 1/12 de 2009 St Fruitós de Bages, 16-17/6 de 2009
34. Activities 2010 Model of care for sleep disorders Smoking cessation in acute COPD Spirometry network for quality control Clinical leadership course (Vic 2010-11) Smoking cessation in acute COPD Survey “Spirometry in Primary Care” Survey “COPD acute care” Model of care for pulmonary hypertension
35. ...and the money? The Master Plan has no specific budget... ... but makes proposals