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 and Joep A.W. Teijink
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Anneroos Sinnige: Department of Vascular Surgery, Catharina Hospital, 5623 Eindhoven, The Netherlands
Maik Sliepen: Chronic CareNet, 5623 Eindhoven, The Netherlands
Marc R. Scheltinga: Department of Surgery, Máxima Medical Center, 5631 Eindhoven/Veldhoven, The Netherlands
Joep A.W. Teijink: Department of Vascular Surgery, Catharina Hospital, 5623 Eindhoven, The Netherlands

IJERPH, 2020, vol. 17, issue 16, 1-8

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.

Keywords: non-communicable diseases; physical therapy; supervised exercise therapy; integrated care network (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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