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I. Smeele, C. Weel, C. Schayck, T. Molen, B. Thoonen, T. Schermer, A. Sachs, J. Muris, N. Chavannes, B. Kolnaar, M. Grol, R. Geijer (2009)
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Aan de basis van het COPD-zorgprogramma liggen de Zorg- Smeele IJM, Meulepas MA, Meulemans C, Reus I, Klomp MF. Implementation of integrated care standaard COPD van de Long Alliantie Nederland, de NHG-Stan- in COPD. Huisarts Wet 2012;55(5):194-8. daard COPD en de Multidisciplinaire richtlijn diagnostiek en behandeling Introduction Implementation of integrated care through care groups and the use 7-9 van COPD. Het programma omvat vijf modules (diagnostiek/ of indicators is subject for discussion, particularly in COPD, asthma and CVRM partly intensieve fase; follow-up/minder intensieve fase; exacer- because there is little information available about the perceived effects and use of baties; stoppen met roken; bewegen) – het zorgprogramma indicators. astma heeft dezelfde structuur, maar zonder de module bewe- Background The care group DOH (2010, 98,685 registered patients) implements gen. Gezien de lage prevalentie van een lage BMI in de popu- since 2009 integrated care for COPD and asthma using bundled payment contracts latie patiënten in het zorgprogramma en de discussie over de with health insurance companies. plaats van dieetinterventies zijn afspraken met diëtisten niet Key measures of quality improvement National COPD indicators GP care with ad- opgenomen. Met apothekers waren er al regionale afspraken ditional indicators on exacerbations, self-management (stop smoking
Huisarts en wetenschap – Springer Journals
Published: Jul 6, 2012
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