Publications by authors named "Litsenburg W"

Article Synopsis
  • The study aimed to evaluate a personalized diagnostic pathway for patients with Chronic Obstructive Pulmonary Disease (COPD) or Asthma in a real-world outpatient setting.
  • The results revealed that only 35% of patients attended all scheduled appointments after the pathway's implementation, with factors like logistical complexity and low socioeconomic status contributing to dropouts.
  • Despite the challenges, the study showed a significant increase in the creation of personalized care plans and diagnostic documentation, indicating that holistic care planning can be effectively implemented, but improvements are needed to increase patient participation.
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Objective: Previous studies showed that general practitioners (GPs) have problems in diagnosing asthma accurately, resulting in both under and overdiagnosis. To support GPs in their diagnostic process an asthma diagnostic consultation service (ADCS) was set up.

Design: We evaluated the performance of this ADCS by analysing the (dis)concordance between the GPs working hypotheses and the ADCS diagnoses and possible consequences this had on the patients' pharmacotherapy.

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Unlabelled: Previous studies showed that general practitioners have problems in diagnosing asthma accurately, resulting in both under and overdiagnosis. To support general practitioners in their diagnostic process, an asthma diagnostic consultation service was set up. We evaluated the performance of this asthma diagnostic consultation service by analysing the (dis)concordance between the general practitioners working hypotheses and the asthma diagnostic consultation service diagnoses and possible consequences this had on the patients' pharmacotherapy.

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Objectives: Hospital admissions for exacerbations of chronic obstructive pulmonary disease are the main cost drivers of the disease. An alternative is to treat suitable patients at home instead of in the hospital. This article reports on the cost-effectiveness and cost-utility of early assisted discharge in The Netherlands.

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Background: In the absence of clear differences in effectiveness and cost-effectiveness between hospital-at-home schemes and usual hospital care, patient preference plays an important role. This study investigates patient preference for treatment place, associated factors and patient satisfaction with a community-based hospital-at-home scheme for COPD exacerbations.

Methods: The study is part of a larger randomised controlled trial.

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Article Synopsis
  • COPD exacerbations lead to high hospitalizations, bed shortages, and healthcare costs, particularly due to the rising prevalence of the disease.
  • Early assisted discharge programs, where patients receive care at home from specialized nurses, show promise as a safe and potentially cost-effective alternative to traditional hospital stays.
  • The GO AHEAD study will compare early discharge at home versus regular inpatient care, assessing effectiveness, quality of life, caregiver burden, and overall patient satisfaction over three months.
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Objective: To describe Dutch respiratory nurses' current smoking cessation practices, attitudes and beliefs, and to compare these with a survey from the year 2000, before the national introduction of a protocol for the treatment of nicotine and tobacco addiction (the L-MIS protocol).

Methods: Questionnaire survey among all 413 registered respiratory nurses in the Netherlands in 2006.

Results: The response rate was 62%.

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