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Multidisciplinary care in chronic airway diseases: the Newcastle model

Vanessa M McDonald, Peter G Gibson
ERJ Open Research 2022; DOI: 10.1183/23120541.00215-2022
Vanessa M McDonald
1Centre of Excellence in Treatable Traits, College of Health, Medicine and Wellbeing, University of Newcastle, , New Lambton Heights, NSW, Australia
2Department of Respiratory and Sleep Medicine, John Hunter Hospital, New Lambton Heights, NSW, Australia
3Asthma and Breathing Research Centre, Hunter Medical Research Centre, New Lambton Heights, NSW, Australia
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  • For correspondence: vanessa.mcdonald@newcastle.edu.au
Peter G Gibson
1Centre of Excellence in Treatable Traits, College of Health, Medicine and Wellbeing, University of Newcastle, , New Lambton Heights, NSW, Australia
2Department of Respiratory and Sleep Medicine, John Hunter Hospital, New Lambton Heights, NSW, Australia
3Asthma and Breathing Research Centre, Hunter Medical Research Centre, New Lambton Heights, NSW, Australia
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Abstract

Chronic airway diseases including, asthma and chronic obstructive pulmonary disease (COPD) are prevalent and high burden conditions with the majority of patients successfully managed in the primary care setting. However, 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 in Newcastle, New South Wales, Australia, which has been integrated into the tertiary care outpatient clinics for almost three decades. The service is multifaceted in terms of the clinical care it provides, and includes an “Inpatient service”, “Asthma Management Service”, “Difficult Airway Clinic”, “Drug Administration Clinic”, “Rapid Access Clinic”, “Pulmonary Rehabilitation” and has an integrated research programme. The core of the multidisciplinary approach to airway diseases is a person-centred model of care, the “Treatable Traits” approach. The staffing of this service comprises of consultant physicians, respiratory advanced trainees, respiratory scientists, physiotherapists, speech pathologists, nurse specialists and a nurse consultant. Patients that present to this service undergo an initial assessment and clinical review by team members, synthesis of relevant data, and development of a diagnosis and management plan. Based on this review specific interventions are determined according to the traits identified. Overtime the service has evolved to accommodate the increasing numbers of patients requiring access to the “Difficult Airways Clinic” assessment and therapies. This has been facilitated by partnered with the Centres of Excellence in Severe Asthma and Treatable Traits to develop educational and practice management tools.

Footnotes

This manuscript has recently been accepted for publication in the ERJ Open Research. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJOR online. Please open or download the PDF to view this article.

This is a PDF-only article. Please click on the PDF link above to read it.

  • Received May 3, 2022.
  • Accepted June 10, 2022.
  • Copyright ©The authors 2022
http://creativecommons.org/licenses/by-nc/4.0/

This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions{at}ersnet.org

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Multidisciplinary care in chronic airway diseases: the Newcastle model
Vanessa M McDonald, Peter G Gibson
ERJ Open Research Jan 2022, 00215-2022; DOI: 10.1183/23120541.00215-2022

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Multidisciplinary care in chronic airway diseases: the Newcastle model
Vanessa M McDonald, Peter G Gibson
ERJ Open Research Jan 2022, 00215-2022; DOI: 10.1183/23120541.00215-2022
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