Chronic Obstructive Pulmonary Disease COPD Primary Care Integrated Care Quality of Life Cost-Effectiveness-Analysis Chronische obstructieve longziekten COPD Huisartsgeneeskunde Geintegreerde zorg Kwaliteit van Leven Kosteneffectiviteits analyse
Conditions
Interventions
The intervention in 20 Dutch primary care practices consists of a multidisciplinary (general practitioners, physician assistants and physiotherapists) course in which efficient task delegation, specif
Sponsors
Leiden University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: Primary care patients with COPD (FEV1/FVC<0.7) according to GOLD and NHG-classification.
Exclusion criteria
Exclusion criteria: Terminally ill patients and expected non-compliance according to GP.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the study is the difference in health status of the participants in the intervention group versus the usual care group after 12 months, as measured with the Clinical COPD Questionnaire (CCQ). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Disease-specific quality of life (SGRQ); 2. Dyspnoea (MRC dyspnoea scale); 3. Quality of life (SF-36, EQ-5D); 4. Self-management (SMAS); 5. Daily activities (IPAQ); 6. Patients' experiences with health care (PACIC); 7. Smoking behaviour (packyears, guided cessation attempts); 8. Medication use (inhaled corticosteroids and bronchodilators); 9. Health care usage; 10. Exacerbations (oral prednisolone and/or antibiotic courses); 11. Hospital admissions or specialist visits; 12. Absence of work; 13. Primary care providers’ experience with health care (ACIC) | — |
Contacts
Public ContactA.L. Kruis
PO Box 9600
Outcome results
None listed