In 2019, the GASP project was scaled-up to the city of Cusco.
After carrying out a need assessment, the following strategy has been identified:
Improving respiratory care by strengthening education and fostering a HUB and spoke model for the management of Chronic Respiratory Disease, especially COPD.
The first program component is the development of an “expert asthma and COPD treatment center”: that provides accurate diagnosis and severity assessment with spirometry, access to trained asthma and COPD physician, and nursing expertise for initiation of optimal therapy, and self-management education.
The second component is to establish community-based “satellite centers”: Provide ongoing follow-up and periodic reassessment to assure optimal control. They will be supported in patient care by the “expert center” as needed via telehealth.
The third component is represented by a GASP team tasked with developing and implementing an operational strategy to identify linkages between the “expert center” and “satellite centers”, establish protocols for the flow of patients, determine common standard operating procedures, develop data registry to track health and health economic outcomes and provide training and continuing education opportunities for community-based healthcare professionals.