Measurement and improvement of health status in patients with COPD

Berkhof, F. F., 2015, [Groningen]: University of Groningen. 180 p.

Research output: ThesisThesis fully internal (DIV)

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  • Title and contents

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  • Chapter 1

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  • Chapter 2

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  • Chapter 3

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  • Chapter 4

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  • Chapter 5

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  • Chapter 6

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  • Chapter 7

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  • Chapter 8

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  • Chapter 9

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  • Complete dissertation

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  • Propositions

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  • Farida Feroza Berkhof
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.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • 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
  • Molen, van der, Thys, Assessment committee
Award date29-Apr-2015
Place of Publication[Groningen]
Print ISBNs978-90-9028936-6
Publication statusPublished - 2015

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