A Nationwide Network to Provide Supervised Exercise Therapy and Lifestyle Counseling for All Patients with Non-Communicable Diseases: Chronic CareNet

Anneroos Sinnige, Maik Sliepen, Marc R. Scheltinga, Joep A. W. Teijink*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Web of Science)

Abstract

Non-communicable diseases (NCDs) are a major cause of disability and mortality worldwide. Physical inactivity is an important contributor to the development of NCDs. Increasing physical activity through supervised exercise therapy (SET) is proven to be effective, and is a key component in both the prevention and treatment of most NCDs. However, only a minority of patients with NCDs receive this treatment, mainly due to an insufficient number and poor accessibility of specialized physical therapists. The aim of this article is to describe a solution that, if indicated, enables all patients with NCDs in the Netherlands to receive SET by a specialized physical therapist: Chronic CareNet. Chronic CareNet is a nationwide network of specialized physical therapists, providing high quality SET and lifestyle counselling to patients with NCDs, initially focusing on peripheral arterial disease, chronic obstructive pulmonary disease and coronary heart disease. The network evolved from ClaudicatioNet. In order to monitor quality of care, therapists enroll in a continuous educational program, and process and outcome indicators are collected by all therapists, which can be compared with a nationwide benchmark (quality system). A robust infrastructure of information and communication technology provides an online care finder and referral system to locate and refer to nearby therapists. All elements of Chronic CareNet are essential, to ensure that all patients in the Netherlands have access to a nearby specialized therapist.

Original languageEnglish
Article number5999
Number of pages8
JournalInternational Journal of Environmental Research and Public Health
Volume17
Issue number16
DOIs
Publication statusPublished - Aug 2020

Keywords

  • ADULTS
  • ALL-CAUSE MORTALITY
  • AMERICAN-COLLEGE
  • ASSOCIATION TASK-FORCE
  • CARDIOVASCULAR-DISEASE
  • GLOBAL BURDEN
  • GUIDELINES
  • INTERMITTENT CLAUDICATION
  • PULMONARY REHABILITATION
  • SYSTEMATIC ANALYSIS
  • integrated care network
  • non-communicable diseases
  • physical therapy
  • supervised exercise therapy
  • MANAGEMENT
  • BURDEN

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