China scores relatively high in the Policy Context category due to a strong national COPD strategy.
China scores relatively high in the Policy Context category due to a strong national COPD strategy. However, China is among the lowest scorers in the Tobacco Control Policy indicator. China scores highly in the Health System Characteristics category, which is due to its low 365-day readmission rate for COPD. China reports the fifth lowest score in the Disease Burden category, which is characterised by the highest COPD death rate, the highest rate of disability-adjusted life years attributable to COPD, very high sex-based inequality in COPD burden, and a high rate of tobacco use. Moreover, China has the lowest score in the Access and Care Coverage category, mainly due to a lack of diagnosis, treatment, and drug access, despite strong care referral pathways. China also reports the lowest score in the Environmental Factors category, which is primarily explained by the highest level of occupational exposure to COPD risk factors, high particulate matter levels, and exposure to biomass smoke. It should be noted that China's vast size reduces the generalisability of the country results as there are significant urban-rural divides across the country.
Priorities for COPD Care
Data from the COPD Index revealed the following priorities regarding COPD care in China.
Strong Policy Context and Health System Characteristics
There is very little access to COPD diagnosis and management services
Highest COPD death rate in the COPD Index
Best Practices for COPD Care
Data from the COPD Index revealed the following best practices regarding COPD care in China.
Affordable medical services
Challenges for COPD Care
Data from the COPD Index revealed the following challenges regarding COPD care in China.
High smoking rate
Lack of access to spirometry access, which makes early diagnosis and intervention difficult
Opportunities for COPD Care
Data from the COPD Index revealed the following opportunities regarding COPD care in China.
Increase public and professional education
Improve the availability of spirometry
Priorities for COPD Care
Data from the COPD Index revealed the following priorities regarding COPD care in China.
Improve support for tobacco cessation services
Increase vaccination rates
Increase availability of pulmonary rehabilitation
Compare China to other countries
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“[Opportunities to improve consist of] … Promoting an integrated care approach that combines pharmacological treatment, pulmonary rehabilitation, patient education, and self-management support could significantly enhance COPD outcomes. This would require better coordination between health care providers, increased access to medications and pulmonary rehabilitation, and more emphasis on patient empowerment.”
Sources
You can view the data sources for this country HERE