Table 4 Organisational/system-level factors: themes and exemplar subthemes

From: Understanding the factors affecting self-management of COPD from the perspectives of healthcare practitioners: a qualitative study

Themes

Subthemes/exemplar codes

Fragmentation of COPD services, interventions and resources

• Awareness and access to resources

• ‘Postcode’ lottery

Focus on biomedical model and outcomes for COPD

• ‘Over-medicalisation’ of COPD care

• Incentives, e.g., QOF targets

Organisation of care

• Reactive system

• Convoluted care pathway/referral systems

Communication and information-sharing infrastructure

• Continuity of care

• Slow system

Inconsistent COPD care and referral pathways.

• Varied self-management planning tools

• Local variations

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