Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012:5:257-63.
doi: 10.2147/JMDH.S35779. Epub 2012 Oct 8.

Multidisciplinary treatment for peripheral arterial occlusive disease and the role of eHealth and mHealth

Hugo Jp Fokkenrood  1 , Gert-Jan Lauret, Marc Rm Scheltinga, Cor Spreeuwenberg, Rob A de Bie, Joep Aw Teijink
Affiliations

Multidisciplinary treatment for peripheral arterial occlusive disease and the role of eHealth and mHealth

Hugo Jp Fokkenrood et al. J Multidiscip Healthc. 2012.

Abstract

Increasingly unaffordable health care costs are forcing care providers to develop economically viable and efficient health care plans. Currently, only a minority of all newly diagnosed peripheral arterial occlusive disease (PAOD) patients receive efficient and structured conservative treatment for their disease. The aim of this article is to introduce an innovative effective treatment model termed ClaudicatioNet. This concept was launched in The Netherlands as a means to combat treatment shortcomings and stimulate cohesion and collaboration between stakeholders. The overall goal of ClaudicatioNet is to stimulate quality and transparency of PAOD treatment by optimizing multidisciplinary health care chains on a national level. Improved quality is based on stimulating both a theoretical and practical knowledge base, while eHealth and mHealth technologies are used to create clear insights of provided care to enhance quality control management, in addition these technologies can be used to increase patient empowerment, thereby increasing efficacy of PAOD treatment. This online community consists of a web portal with public and personal information supplemented with a mobile application. By connecting to these tools, a social community is created where patients can meet and keep in touch with fellow patients, while useful information for supervising health care professionals is provided. The ClaudicatioNet concept will likely create more efficient and cost-effective PAOD treatment by improving the quality of supervised training programs, extending possibilities and stimulating patient empowerment by using eHealth and mHealth solutions. A free market principle is introduced by introducing transparency to provided care by using objective and subjective outcome parameters. Cost-effectiveness can be achieved using supervised training programs, which may substitute for or postpone expensive invasive vascular interventions.

Keywords: cost-effectiveness; eHealth; intermittent claudication; multidisciplinary treatment.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Schematic overview of role models within the ClaudicatioNet (CNet) Concept. Abbreviations: PT, physical therapist; CHP, coordinating health care professional; AUX TREAT, auxiliary treatment professional; SET, supervised exercise treatment; CVRM, cardiovascular risk management; T, treatment; SCP, social community platform.
See this image and copyright information in PMC

References

    1. Rapport De zorg: hoeveel extra is het ons waard? (Dutch Government Report: healthcare, how much is it worth extra?) Dutch Ministry of Health Welfare and Sports. 2012 Jun 12; (Dutch)
    1. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG TASC II Working Group. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) J Vasc Surg. 2007;45(Suppl S):S5–S67. - PubMed
    1. Selvin E, Erlinger TP. Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey, 1999–2000. Circulation. 2004;110(6):738–743. - PubMed
    1. Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 2006;113(11):e463–e654. - PubMed
    1. Lauret GJ, van Dalen DC, Willigendael EM, et al. Supervised exercise therapy for intermittent claudication: current status and future perspectives. Vascular. 2012;20(1):12–19. - PubMed