Discharge Practices After Hospitalization for COPD Exacerbations: A Physician Survey and SWOT Analysis
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Le résumé fourni par la source
BACKGROUND/OBJECTIVES: Discharging patients after hospitalization for an acute exacerbation of chronic obstructive pulmonary disease (COPD) is a critical transition in care associated with a high risk of early readmission. This survey aimed to describe physician-reported discharge practices following COPD exacerbations, identify perceived gaps and organizational barriers, explore attitudes toward structured COPD discharge summaries, and use a SWOT analysis as an interpretative framework. METHODS: In this cross-sectional observational survey, 100 physicians involved in COPD care were recruited from the official mailing list of the Respiratory Society of Serbia, which represents approximately 71% of the Society's members. The survey assessed discharge procedures, multidisciplinary practices, patient education, comorbidity management, perceived causes of readmission, and barriers to structured discharge summaries. Data were analyzed descriptively and complemented with a structured SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis. RESULTS: Most respondents worked in tertiary care settings and were involved in managing patients hospitalized for COPD exacerbations. Although 24% of physicians routinely used structured discharge summaries, 45% reported never using them. The most frequently perceived contributors to 30-day readmissions were active smoking (90%), poor treatment adherence (81%), comorbidities (77%), and incorrect inhaler technique (72%). Major barriers to implementing structured discharge summaries included the lack of standardized templates, time constraints, poor coordination across healthcare levels, and technical limitations. Willingness to implement structured discharge tools was high (mean score 8.86/10). SWOT analysis identified strong professional support for discharge standardization alongside organizational and system-level barriers to implementation. CONCLUSIONS: This exploratory survey identified important gaps between recommended and routine COPD discharge practices and highlighted organizational barriers to implementation. The findings may inform future evaluation and development of structured discharge tools in this healthcare setting.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Discharge Practices After Hospitalization for COPD Exacerbations: A Physician Survey and SWOT Analysis
- Date Crossref
- 20/06/2026
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Belgrade pays non établi dans la noticeUniversité ou école supérieure
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University of Kragujevac pays non établi dans la noticeUniversité ou école supérieure
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Clinical Centre of Kragujevac pays non établi dans la noticeÉtablissement de santé
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University of Novi Sad pays non établi dans la noticeUniversité ou école supérieure
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Institute for Pulmonary Diseases of Vojvodina pays non établi dans la noticeÉtablissement de santé
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Military Medical Academy pays non établi dans la noticeÉtablissement de santé
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University of Nis pays non établi dans la noticeUniversité ou école supérieure
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University Clinical Center of Serbia Clinic for Pulmonology pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Medicine pays non établi dans la noticeUniversité ou école supérieure
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University Clinical Center of Kragujevac Clinic for Pulmonology pays non établi dans la noticeUniversité ou école supérieure
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Clinic for Pulmonology pays non établi dans la noticeÉtablissement de santé
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University Clinical Center of Nis Clinic for Pulmonology pays non établi dans la noticeUniversité ou école supérieure
University of Belgrade, University of Kragujevac et Clinical Centre of Kragujevac, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.