1 Finding the Missing Millions • Scale of misdiagnosis and under-diagnosis • Possible reasons for this • Opportunities for earlier diagnosis • Raising awareness • Encouraging testing • Opportunistic case finding • Using practice registers Finding the Missing Millions • Scale of misdiagnosis and under-diagnosis • Possible reasons for this • Opportunities for earlier diagnosis • Raising awareness • Encouraging testing • Opportunistic case finding • Using practice registers
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Breakout 4.1 Finding the missing millions - David Halpin
Breakout 4.1 Finding the missing millions - David Halpin Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013, Guoman Tower Hotel, London How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
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1
Finding the Missing Millions
• Scale of misdiagnosis and under-diagnosis
• Possible reasons for this
• Opportunities for earlier diagnosis
• Raising awareness • Encouraging testing • Opportunistic case finding • Using practice registers
Finding the Missing Millions
• Scale of misdiagnosis and under-diagnosis
• Possible reasons for this
• Opportunities for earlier diagnosis
• Raising awareness • Encouraging testing • Opportunistic case finding • Using practice registers
2
Underdiagnosis of COPD
Nacul et al. J Pub Health 2010
The ratio of diagnosed to expected prevalence varied from 0.20 to 0.95, mean of 0.52. Underdiagnosis was more pronounced in urban areas, and was particularly severe in London