[Working with the Dutch Standard of Care for COPD: using the 'Nijmegen Clinical Screening Instrument' as an aid]

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Title:	[Working with the Dutch Standard of Care for COPD: using the 'Nijmegen Clinical Screening Instrument' as an aid]
Author(s):	Vercoulen, J.H.M.M. ; Bischoff, E.W.M.A. ; Heijdra, Y.F.
Publication year:	2012
Source:	Nederlands Tijdschrift voor Geneeskunde, vol. 156, iss. 45, (2012), pp. A4919
ISSN:	0028-2162
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/110333
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Subject:	N4i 1: Pathogenesis and modulation of inflammation NCEBP 7: Effective primary care and public health NCEBP 8: Psychological determinants of chronic illness NCEBP 8: Psychological determinants of chronic illness
Organization:	Medical Psychology Pulmonary Diseases Primary and Community Care
Journal title:	Nederlands Tijdschrift voor Geneeskunde
Volume:	vol. 156
Issue:	iss. 45
Page start:	p. A4919
Page end:	p. A4919
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.