A Conceptual Paper Applying the Precede-Proceed Model to Person-Centred COPD Care: A Timely Resource for Patients, Clinicians, Health Organisations and Healthcare Policymakers

Chronic Obstructive Pulmonary Disease (COPD) is a progressive and irreversible obstructive lung condition. Its aetiology involves complex, cumulative interactions between genetic, lifestyle, and environmental factors throughout an individual’s lifespan. COPD impacts quality of life and economy in significant and diverse ways. This conceptual paper analyses the benefits of applying the Precede-Proceed Model to the clinical assessment, care, treatment, and evaluation of COPD patients in acute and community settings. The model provides a robust, systematic framework for addressing the multifaceted challenges of COPD management. Given COPD’s complex aetiology, which encompasses genetic predispositions, lifestyle choices, and environmental exposures, a comprehensive approach to intervention is essential. Hence, there is a critical need for healthcare professionals, researchers, policymakers, and patient advocacy groups to innovate and implement novel strategies to confront the escalating and persistent public health challenge posed by COPD. This comprehensive approach integrates aspects of COPD assessment and care that are adaptable across diverse healthcare settings, including home-based care, community interventions, acute care environments, and policy development. Employing the Precede-Proceed Model to holistically address COPD offers the potential to improve the quality of life and functional capacity of individuals with COPD, as well as the global economy, by identifying related non-biomedical blind spots, such as the psychological, social, and economic determinants of patient well-being.