Abstract
- In the Dutch Standard of Care for chronic obstructive pulmonary disease (COPD) the patient, not the illness, is now central. - Additionally, treatment is no longer exclusively guided by the degree of airway obstruction but by the burden of disease (also called 'integral health status').- Consequently, COPD care will be more intensive and more complex.- The Nijmegen Clinical Screening Instrument (NCSI) method offers a guide for the patient and the caregiver to help execute the standard of care effectively and efficiently.- Using this method, the burden of disease is assessed in detail.- An integral intervention helps in formulating treatment goals (patient-tailored treatment), and in motivating patients to adhere to these treatment goals.- A special condensed version of the NCSI is suitable for monitoring the patient.- The method is web-based, which facilitates the assessment and monitoring of the patient.
