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Multidisciplinary care in chronic airway diseases: the Newcastle model
Vanessa M McDonald, John Harrington, Vanessa L Clark & Peter G Gibson
Chronic airway diseases such as asthma and COPD are high-burden conditions. The majority of patients successfully managed in the primary care setting, however, for some patients with more complex disease such as difficult-to-treat or severe asthma, or complex COPD, tertiary care is required.
This review provides an overview of the successful tertiary care multidisciplinary respiratory service that operates at the John Hunter Hospital in Newcastle, New South Wales, Australia. This successful service has been integrated into the tertiary care outpatient clinics for almost three decades.
You can read this review here
In this review there is an example of a patient's journey and how different members of the multidisciplinary team are involved in the patient's care. AI: airway inflammation; CBT: cognitive behavioural therapy; EOS: eosinophils; FENO: exhaled nitric oxide fraction; MDA: multidisciplinary assessment; mAb: monoclonal antibody; Mx: management; Rx: prescription; VCD: vocal cord dysfunction.
This review provides an overview of the service, including the model of care “treatable traits” which underpins the service. It details the key players of the multidisciplinary team, their role in the multidimensional assessment, as well as the “Severe Asthma Checklist”.
The review also provides an overview of the multidisciplinary team (MDT) of the difficult airway disease service. VCD: vocal cord dysfunction; RAC: Rapid Access Clinic; PRP: pulmonary rehabilitation programme; DAC: Drug Administration Clinic; AMS: Asthma Management Service
