{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T19:43:39Z","timestamp":1782330219570,"version":"3.54.5"},"reference-count":47,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"unspecified","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Saudi Arabian Cultural Bureau UK"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Resp Res"],"accepted":{"date-parts":[[2025,11,22]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The COVID-19 pandemic significantly impacted primary healthcare for chronic disease patients, including those with chronic obstructive pulmonary disease (COPD). Information about whether virtual or remote consultations were effective or acceptable to patients with COPD is sparse. E-consultation and telephone triage strategies were deployed, with the vast majority of triaged consultations taking place over the phone or through video calls. This study explored the views of patients with COPD and providers on the effects of the pandemic on their health and healthcare, and barriers to\/enablers of remote consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>12 semi-structured interviews with open-ended questions were conducted via telephone\/Zoom among patients with COPD and healthcare professionals (HCPs) in the West Midlands, UK. Patients with COPD were recruited from the Birmingham Lung Improvement StudieS (BLISS) cohort. HCPs were approached via an advert distributed through general practitioner practices that were part of the BLISS cohort; brief adverts were disseminated to several professional organisations throughout the West Midlands area and social media. Interviews were analysed using Braun and Clarke\u2019s six steps of thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three major themes around coping and life adjustment, NHS service accessibility and healthcare inequalities related to e-health literacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Post-pandemic priorities should include enhancing remote consultation training for providers, with a focus on rapport-building and care delivery. Equally important are providing flexible healthcare access, continuity of care and targeted support for vulnerable patients with COPD to maintain essential services during crises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjresp-2025-003196","type":"journal-article","created":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T09:30:15Z","timestamp":1766655015000},"page":"e003196","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["COVID-19 and its impact on healthcare services provided to patients with COPD: a qualitative study"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7014-0015","authenticated-orcid":false,"given":"Abdullah","family":"Aljahan","sequence":"first","affiliation":[{"name":"College of Pharmacy, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E","family":"Jordan","sequence":"additional","affiliation":[{"name":"College of Medicine and Health, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Hodgkinson","sequence":"additional","affiliation":[{"name":"College of Medicine and Health, University of Birmingham, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,12,25]]},"reference":[{"key":"2026010701520439000_12.1.e003196.1","doi-asserted-by":"crossref","DOI":"10.1017\/gheg.2018.1","article-title":"The unmet global burden of COPD","volume":"3","author":"Quaderi","year":"2018","journal-title":"Glob Health Epidemiol Genom"},{"key":"2026010701520439000_12.1.e003196.2","doi-asserted-by":"publisher","DOI":"10.1177\/1753465815618113"},{"key":"2026010701520439000_12.1.e003196.3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0233147","article-title":"Prevalence, Severity and Mortality associated with COPD and Smoking in patients with COVID-19: A Rapid Systematic Review and Meta-Analysis","volume":"15","author":"Alqahtani","year":"2020","journal-title":"PLoS ONE"},{"key":"2026010701520439000_12.1.e003196.4","doi-asserted-by":"crossref","first-page":"2323","DOI":"10.2147\/COPD.S318000","article-title":"Mortality from COVID-19 in Patients with COPD: A US Study in the N3C Data Enclave","volume":"16","author":"Meza","year":"2021","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"2026010701520439000_12.1.e003196.5","doi-asserted-by":"crossref","first-page":"105941","DOI":"10.1016\/j.rmed.2020.105941","article-title":"Chronic obstructive pulmonary disease is associated with severe coronavirus disease 2019 (COVID-19)","volume":"167","author":"Lippi","year":"2020","journal-title":"Respir Med"},{"key":"2026010701520439000_12.1.e003196.6","doi-asserted-by":"crossref","DOI":"10.1183\/23120541.00718-2020","article-title":"COPD in the time of COVID-19: an analysis of acute exacerbations and reported behavioural changes in patients with COPD","volume":"7","author":"McAuley","year":"2021","journal-title":"ERJ Open Res"},{"key":"2026010701520439000_12.1.e003196.7","unstructured":"Digit Health . 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