Cover Page The handle

Cover Page

The handle http://hdl.handle.net/1887/55806 holds various files of this Leiden University dissertation.

Author: Talboom-Kamp, E.P.W.A.

Title: E-Health in primary care : from chronic disease management to person-centered e- Health : the necessity for blended care

Issue Date: 2017-11-21

“Imagination is more important than

knowledge.”

Albert Einstein, ‘Glimpses of the Great’ 1930

Voor mijn kinderen Iris en Jorin

2

eHealth in primary care

From chronic disease management to person-centered eHealth: the necessity for

blended care.

E.P.W.A. Talboom-Kamp

4

E.P.W.A. Talboom-Kamp 2017

Department of Public Health and Primary Care of the Leiden University Medical Centre

ISBN: 978-90-9030597-4

Cover design: we are ODD Photography: Irvin Talboom

Layout & Printing: we are ODD, Count Concepts

The research projects in this thesis were funded by the foundation Care Within Reach (Zorg Binnen Bereik) and by Saltro Diagnostic Centre, Utrecht.

Financial support by the Dutch Heart Foundation and the Dutch Lung Fund for the publication of this thesis is gratefully acknowledged.

© Esther P.W.A. Talboom-Kamp, 2017

All rights reserved. No part of this thesis may be reproduced without prior

permission of the author.

eHealth in Primary Care

From chronic disease management to person-centered eHealth: the necessity for blended care.

Proefschrift

Ter verkrijging van:

de graad van Doctor aan de Universiteit Leiden op gezag van Rector Magnificus prof. Mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties te verdedigen op dinsdag 21 november 2017

klokke 10.00 uur

Door:

Esther Patricia Willy Adria Talboom-Kamp

Geboren op 27 mei 1968, te Etten-Leur

6

Promotoren: Prof. Dr. N.H. Chavannes Prof. Dr. M.E. Numans Copromotoren: Dr. N.A. Verdijk

Dr. M.J. Kasteleyn

CONTENTS

Chapter 1

11

General introduction From chronic disease management to person-centered eHealth: the necessity for blended care Chapter 2

27

An eHealth Platform to Manage Chronic Disease in Primary Care: An Innovative Approach Chapter 3

47

e-Vita: design of an innovative approach to COPD disease management in primary care through eHealth application Chapter 4

73

Self-management of COPD with web-based platforms; High level of integration in integrated disease management leads to higher usage in the e-Vita study Chapter 5

107

The Effect of Integration of Self-Management Web Platforms on Health Status in Chronic Obstructive Pulmonary Disease Management in Primary Care (e-Vita study): Interrupted Time Series Design Chapter 6

137

PORTALS: design of an innovative approach to anticoagulation management through eHealth Chapter 7

157

Effect of a combined education and eHealth program on the control of oral anticoagulation patients (PORTALS study): a parallel cohort design in Dutch primary care Chapter 8

185

Discussion Summary

203

Samenvatting

215

Dankwoord

227

Curriculum Vitae

235

List of publications

241