{"id":"https://openalex.org/W5203002","doi":null,"title":"The influence of variations in implementation of a COPD disease management program across primary care teams on costs and effects","display_name":"The influence of variations in implementation of a COPD disease management program across primary care teams on costs and effects","publication_year":2013,"publication_date":"2013-08-29","ids":{"openalex":"https://openalex.org/W5203002","mag":"5203002"},"language":"en","primary_location":{"id":"mag:5203002","doi":null,"is_oa":false,"landing_page_url":"https://thesis.eur.nl/pub/15867/Huygens-S.-332771.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007786131","display_name":"Simone A. Huygens","orcid":"https://orcid.org/0000-0003-0669-4149","observed_orcids":["https://orcid.org/0000-0003-0669-4149"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Simone Huygens","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-0669-4149","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5007786131"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0006411,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.3384000062942505,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.010200000368058681,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.875},{"id":"https://openalex.org/keywords/disease-management","display_name":"disease management","score":0.8109999895095825},{"id":"https://openalex.org/keywords/implementation-variation","display_name":"implementation variation","score":0.9229999780654907},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.6449999809265137},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8119999766349792},{"id":"https://openalex.org/keywords/barriers-and-facilitators","display_name":"barriers and facilitators","score":0.9480000138282776},{"id":"https://openalex.org/keywords/practice-nurses","display_name":"practice nurses","score":0.4740000069141388},{"id":"https://openalex.org/keywords/dyspnea","display_name":"dyspnea","score":0.9049999713897705},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8989999890327454},{"id":"https://openalex.org/keywords/implementation-indicators","display_name":"implementation indicators","score":0.4169999957084656}],"concepts":[{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.6751769185066223},{"id":"https://openalex.org/C72497813","wikidata":"https://www.wikidata.org/wiki/Q110051588","display_name":"Implementation research","level":3,"score":0.6021801829338074},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.5146821141242981},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.44845929741859436},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.42810964584350586},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.40433400869369507},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39086997509002686},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3798484802246094},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.35057705640792847},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3314994275569916},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2736111581325531},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.1494634747505188},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:5203002","doi":null,"is_oa":false,"landing_page_url":"https://thesis.eur.nl/pub/15867/Huygens-S.-332771.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":68,"referenced_works":["https://openalex.org/W40358349","https://openalex.org/W105318348","https://openalex.org/W1507525730","https://openalex.org/W1573234480","https://openalex.org/W1899678835","https://openalex.org/W1945795339","https://openalex.org/W1958416008","https://openalex.org/W1966093165","https://openalex.org/W1966936516","https://openalex.org/W1977915603","https://openalex.org/W1979518810","https://openalex.org/W1990513740","https://openalex.org/W1990973473","https://openalex.org/W1990975253","https://openalex.org/W2001841594","https://openalex.org/W2006592215","https://openalex.org/W2013916148","https://openalex.org/W2017104264","https://openalex.org/W2021636125","https://openalex.org/W2035829449","https://openalex.org/W2036006098","https://openalex.org/W2039812123","https://openalex.org/W2042607745","https://openalex.org/W2045340501","https://openalex.org/W2058110952","https://openalex.org/W2062677753","https://openalex.org/W2064361455","https://openalex.org/W2077609075","https://openalex.org/W2084057771","https://openalex.org/W2085229078","https://openalex.org/W2086796672","https://openalex.org/W2090214829","https://openalex.org/W2107829061","https://openalex.org/W2111310576","https://openalex.org/W2113065770","https://openalex.org/W2113241235","https://openalex.org/W2118480390","https://openalex.org/W2122653091","https://openalex.org/W2123084333","https://openalex.org/W2125078269","https://openalex.org/W2125178614","https://openalex.org/W2127951128","https://openalex.org/W2129303710","https://openalex.org/W2129470638","https://openalex.org/W2129987303","https://openalex.org/W2130236339","https://openalex.org/W2133011065","https://openalex.org/W2136410877","https://openalex.org/W2139302805","https://openalex.org/W2140095254","https://openalex.org/W2140893533","https://openalex.org/W2143170158","https://openalex.org/W2143981995","https://openalex.org/W2145259564","https://openalex.org/W2156757856","https://openalex.org/W2157156054","https://openalex.org/W2158644207","https://openalex.org/W2160477976","https://openalex.org/W2167544636","https://openalex.org/W2168211563","https://openalex.org/W2169362019","https://openalex.org/W2169516798","https://openalex.org/W2171647259","https://openalex.org/W2416951780","https://openalex.org/W2473786944","https://openalex.org/W2778645952","https://openalex.org/W3184591016","https://openalex.org/W4240576039"],"related_works":["https://openalex.org/W1525107690","https://openalex.org/W2200093811","https://openalex.org/W7140032982","https://openalex.org/W2413988678","https://openalex.org/W2333147109","https://openalex.org/W7099573397","https://openalex.org/W2095972709","https://openalex.org/W2167487355","https://openalex.org/W2109314077","https://openalex.org/W2129987303"],"abstract_inverted_index":{"Background:":[0],"The":[1,46,144,188,211,236,254,289,362],"implementation":[2,16,47,66,85,108,118,161,178,184,196,203,232,255,260,338,363],"of":[3,36,58,75,86,106,109,141,146,162,164,179,191,202,209,213,240,244,266,285,310,325,334,339,347,355,372,408,425],"disease":[4],"management":[5],"(DM)":[6],"is":[7,384],"expected":[8],"to":[9,27,61,69,101,137,152,170,198,225,386,417],"differ":[10],"between":[11,84,120,234,269,277,375,399],"practices.":[12,235],"Variations":[13],"in":[14,22,65,271,273,306,352,378,391],"the":[15,25,28,44,73,82,87,107,110,114,117,147,160,165,171,177,200,217,220,226,231,252,259,267,283,286,320,323,337,344,353,373,376,389,397,423],"can":[17],"be":[18],"caused":[19,31],"by":[20,32,124,258],"differences":[21,64,268,374],"translation":[23],"from":[24],"intervention":[26,88,222],"specific":[29,227],"practice":[30,128,228],"different":[33,39,241],"starting":[34,242],"levels":[35,243],"DM":[37,245,304],"and":[38,41,56,89,91,97,139,182,207,229,246,248,275,279,380,394,401,406],"barriers":[40,138,247],"facilitators":[42,140,249],"influencing":[43],"implementation.":[45,253],"variations":[48,119,204,237,256,364],"will":[49],"probably":[50],"have":[51],"an":[52,297],"impact":[53],"on":[54,81,155,205,388,404],"costs":[55,90,206,274,405],"effects":[57,208,276,407],"DM.":[59,76,143,409,426],"Failing":[60],"recognize":[62],"these":[63,195],"may":[67],"lead":[68],"inappropriate":[70],"conclusions":[71,421],"about":[72,422],"cost-effectiveness":[74,415,424],"Therefore":[77,382],"this":[78,192,214,365,392],"study":[79,94,193,215,366,393],"focused":[80],"relationship":[83],"effects.\r\nMethods:":[92],"This":[93,132,410],"combined":[95],"qualitative":[96,115,148],"quantitative":[98,189],"research":[99,149],"methods":[100],"enable":[102],"a":[103],"comprehensive":[104],"evaluation":[105],"RECODE":[111,166,221,287],"intervention.":[112,167],"In":[113,168],"part":[116,133,190],"practices":[121,270,377,400],"were":[122,150,186,294,317],"explored":[123],"conducting":[125],"interviews":[126],"with":[127,319,357],"nurses":[129],"(or":[130],"GPs).":[131],"also":[134],"paid":[135],"attention":[136],"implementing":[142,300],"outcomes":[145],"used":[151,194],"estimate":[153],"scores":[154,175,185],"18":[156,280],"indicators":[157],"that":[158,219,293],"represent":[159],"aspects":[163,302],"addition":[169],"separate":[172],"indicators,":[173],"subtotal":[174],"for":[176,327],"CCM":[180],"elements":[181],"total":[183],"calculated.":[187],"variables":[197],"investigate":[199],"influence":[201,403],"DM.\r\nResults:":[210],"results":[212],"confirm":[216],"expectation":[218],"gets":[223],"tailored":[224],"therefore":[230],"varies":[233],"emerged":[238],"because":[239],"encountered":[250],"during":[251],"(represented":[257],"variables)":[261],"could":[262,412],"not":[263,369],"explain":[264,370],"most":[265,371],"changes":[272],"baseline":[278],"months":[281],"after":[282],"start":[284],"study.":[288],"few":[290],"significant":[291],"influences":[292],"found":[295],"had":[296],"unexpected":[298],"direction;":[299],"(more":[301],"of)":[303],"resulted":[305],"poorer":[307],"disease-specific":[308],"quality":[309,346],"life":[311,348],"(higher":[312,349],"CCQ":[313],"scores).":[314],"Some":[315],"findings":[316,390],"consistent":[318],"expectations.":[321],"First,":[322],"use":[324],"funding":[326],"physiotherapy":[328],"improved":[329],"dyspnea":[330],"(lower":[331],"MRC":[332],"scores)":[333,351],"patients.":[335],"Second,":[336],"individual":[340],"treatment":[341],"plans":[342],"increased":[343],"generic":[345],"EQ-5D":[350],"subgroup":[354],"patients":[356],"more":[358,419],"COPD":[359],"symptoms":[360],"(MRC>2).\r\nConclusion:":[361],"identified":[367],"did":[368],"cost":[379],"effects.":[381],"it":[383],"desirable":[385],"elaborate":[387],"further":[395],"explore":[396],"heterogeneity":[398],"its":[402],"information":[411],"support":[413],"future":[414],"studies":[416],"give":[418],"accurate":[420]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
