Barriers to Implementing a Pharmacist-Led COPD CARE Bundle in Rural Settings: A Qualitative Evaluation

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Examines barriers to implementing the COPD Coordinated Access to Reduce Exacerbations (COPD CARE) program, a care bundle focused on improving chronic obstructive pulmonary disease care coordination among pharmacists, nurse care managers, and other pharmacy clinicians in the Veterans Affairs system. Describes themes from clinician interviews, including discussion of staffing challenges, limited referral availability, fragmentation of care, technological limitations, and more.

Edward Christopher Portillo, Martha Maurer, Steven Do, et al.

BMJ Open Respiratory Research, 13, e003178

03/2026

Care coordination · Chronic respiratory conditions · Health workforce supply and demand · Pharmacy and prescription drugs · Pharmacy workforce · Veterans