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Studies using effectiveness and implementation research designs are needed to develop and test educational programs for clinicians and to design seamless interfaces between clinicians, suppliers, payers, patients, and caregivers. Clinicians and patients need better access to durable medical equipment (DME) personnel existing prescriptions guidelines on quality assurance, prescribing, and documentation and educational programs and materials. Many health care providers that prescribe oxygen lack the resources and knowledge needed to prescribe oxygen delivery systems and devices correctly and efficiently to meet the specific needs of their patients. Most patients are unaware of mechanisms by which to report and resolve their problems. These include functional, mechanical, financial, and educational dimensions that affect their ability to work, exercise, travel, and interact with their families and community. Oxygen users frequently experience significant and clinically unacceptable problems related to their oxygen equipment that decrease their quality of life.
#THE OFFICIAL SURVEY REMOVER FULL#
This report summarizes the content of the full workshop. A group of experts was assembled and charged with the following goals: 1) develop a consensus definition for optimal home oxygen therapy 2) identify key barriers to optimal home oxygen use and 3) conceptualize potential strategies and solutions. The American Thoracic Society (ATS) Workshop on Optimizing Home Oxygen Therapy was funded by the ATS and convened at the 2017 ATS International Conference for the purpose of addressing the increased frequency of patient and clinician reports of problems with home oxygen in the United States.
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Generation of additional evidence of the benefit of supplemental oxygen across the spectrum of advanced lung diseases and the development of clinical practice guidelines should both be prioritized.
#THE OFFICIAL SURVEY REMOVER PORTABLE#
Studies using effectiveness and implementation research designs are needed to develop and evaluate new models for patient education, identify effective ways for stakeholders to interface, determine the economic benefit of having respiratory therapists perform in-home education and follow-up testing, and collaborate with technology companies to improve portable oxygen devices. Analysis is needed to quantify the unintended impact that the Centers for Medicare and Medicaid Services Competitive Bidding Program has had on patients receiving supplemental oxygen from durable medical equipment providers. Patients with certain lung diseases are affected more than others because of physically unmanageable or inadequate portable systems. Health care providers report a lack of readily accessible resources needed to prescribe oxygen systems correctly and efficiently. Oxygen users experience significant functional, mechanical, and financial problems and a lack of education related to their oxygen equipment-problems that impact their quality of life. Recently, patients and clinicians report a growing number of problems with home oxygen in the United States. Ideal supplemental oxygen therapy is patient-specific, provided by a qualified clinician, includes an individualized prescription and therapeutic education program, and offers oxygen systems that are safe, promote mobility, and treat hypoxemia. This document describes recommendations from a multidisciplinary workshop convened at the ATS International Conference in 2017 with the goal of optimizing home oxygen therapy for adults. More than 1.5 million adults in the United States use supplemental oxygen for a variety of respiratory disorders to improve their quality of life and prolong survival.