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Furthermore, the healthcare providers were trained in adopting self management action plans, including early recognition and treatment of exacerbations, encouragement of regular exercise and guideline based physical reactivation, cooperation with secondary care, and instructions in nutritional support.

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Eligible participants had a diagnosis of COPD, according to GOLD (Global Initiative for COPD) guidelines.1 For all included patients, we attempted to verify the diagnosis by lung function tests.U vindt hier alle vogels uit het vraagprogramma van de NBv V. Het vraagprogramma is aangepast en ook de manier van zoeken. The intervention was delivered at the cluster level.General practitioners, practice nurses, and specialised physiotherapists in the intervention group received a two day training course on incorporating integrated disease management in practice.

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