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There is a range of methods for active implementation of guidelines, including reminders, opinion leaders, interactive small group meetings, audit and feedback [ 35, 37, 38].
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This finding highlights a target area for future active implementation models designed to ensure further change in the care for patients living with COPD.
The main strategies for an active implementation of these two interfaces in real devices are discussed.
There is a need for more active implementation strategies [ 5– 7].
This study showed that patients gave a more positive evaluation of the care they received for their COPD after an active implementation of a DMP for COPD focusing on the GP's role as a coordinator of the care and on self-management than after standard implementation of a DMP for COPD.
The aim of this paper is to present the effect of the previously developed active implementation model for a DMP for COPD on patients' assessment of their care.
The primary outcome was patients' assessment of their care after using an active implementation model for a DMP for COPD measured with the Patient-Assessment-of-Chronic-Illness-Care (PACIC) instrument.
Use of the active implementation model for the disease-management-programme for COPD changed the healthcare utilization in accordance with the programme.
The objective of this paper was to determine the effect on healthcare-utilization of an active implementation model for a disease-management-programme for patients with one of the major multimorbidity diseases, COPD.
The aims were, first, to investigate the impact of the previously developed active implementation model for a disease management programme for COPD as measured by specific indicators to determine to which degree the GPs follow the recommendations; and, second, to determine the extent of healthcare utilization in primary and secondary care for patients with COPD.
Overall adherence was 42% for physiotherapists who participated in an active implementation strategy [ 16].
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Justyna Jupowicz-Kozak
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