Measurement and improvement of health status in patients with COPD

Farida Feroza Berkhof

    Research output: ThesisThesis fully internal (DIV)

    795 Downloads (Pure)

    Abstract

    Chronic Obstructive Pulmonary Disease (COPD) is a severe disease and the number of people with COPD is increasing every year. COPD is also a slowly progressive disease over the years. COPD is associated with stable periods and exacerbations. An exacerbation is characterised by increasing symptoms, i.e. cough, dyspnoea and sputum, and can result in medical treatment and even hospitalisation. It is difficult to predict when these exacerbations occur and this hampers optimal treatment. To prevent deterioration in people with COPD we investigated two systems, i.e. telemedicine and the on-demand system.
    Telemedicine, initiated phone calls by a health-care provider every two weeks, was not useful. Patients experienced more symptoms of cough, sputum production and shortness of breath at rest and during physical activities.
    The on-demand system, patient initiated outpatient visits, was safe and feasible for patients with COPD. Also, a cost-saving tendency was found for healthcare provider and health care insurance. In the Isala in Zwolle people with COPD are currently seen in the outpatient clinic according to this on-demand system.
    Translated title of the contributionMeten en verbeteren van health status bij patiënten met COPD
    Original languageEnglish
    QualificationDoctor of Philosophy
    Awarding Institution
    • University of Groningen
    Supervisors/Advisors
    • Kerstjens, Huib, Supervisor
    • van den Berg, J.W.K., Co-supervisor, External person
    • Wesseling, G., Assessment committee, External person
    • de Vet, Henrica C. W., Assessment committee, External person
    • van der Molen, Thys, Assessment committee
    Award date29-Apr-2015
    Place of Publication[Groningen]
    Publisher
    Print ISBNs978-90-9028936-6
    Publication statusPublished - 2015

    Cite this