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Thema:
Chronische aandoeningen

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Artrose

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Sinds 2024 werken de volgende partijen samen voor het onderwerp artrose: gemeente(n), buurtsportcoach, Paramedische Zorggroep Eemland, Huisartsen Eemland en het Meander Medisch Centrum.

Gaandeweg het proces hebben we ook twee zelfstandige behandelcentra (Bergman Clinics en XpertClinics) gevraagd. We organiseerden verschillende inspiratiesessies waarin we voorbeelden uit het land bespraken, bijvoorbeeld het Beweeghuis in de regio Maastricht. Daarna maakten we ons eigen gewenste zorgpad en bepaalden we waar er nog knelpunten waren. We beschreven de beweging die we wilden maken en inmiddels is het plan van de projectgroep goedgekeurd.

Wat willen we bereiken?

Artrosepatiënten zijn zelfredzaam of worden ondersteund in zelfstandigheid en hebben gemakkelijke toegang tot online informatie voor zelfzorg
Informatie over artrose is uniform beschikbaar, online en via de zorgverlener
Het beweegaanbod vanuit de gemeenten is voor patiënten én zorgverleners goed vindbaar
Voor -onderliggende- problemen die zelfmanagement belemmeren wordt het sociaal domein ingeschakeld
We zetten het stepped care model effectief in, met stapsgewijze zorg die past bij de ernst van de klachten en waarbij we beginnen met de minst intensieve zorgvormen
We zorgen voor de Juiste Zorg op de Juiste Plek

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Dit project draagt bij aan

Goede gezondheid
Goede ervaren kwaliteit van zorg en ondersteuning
Toegankelijke en betaalbare zorg, de juiste zorg op de juiste plek
Werkplezier van professionals

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Het model

Binnen de regio richten we ons op inwoners vanaf 40 jaar, met klachten aan bewegingsapparaat waarbij nog geen diagnose is vastgesteld en inwoners waar al wel de diagnose artrose knie/heup is vastgesteld. We maken gebruik van het stepped care model. Een inwoner met klachten aan het beweegapparaat die niet meer acceptabel zijn gaat eerst zelf aan de slag in de 0e lijn (zelfzorg, aanpassen leefstijl en bewegen via buurtsportcoach). Als dat niet voldoende helpt, kan de inwoner naar de 1e lijn (huisarts/ fysiotherapeut, diëtist, ergotherapeut) voor een (leefstijl) advies en/of een beweegprogramma en medicamenteuze ondersteuning. Als al deze stappen adequaat zijn doorlopen en de klachten onvoldoende verbeteren wordt de patiënt verwezen naar de medisch specialist voor aanvullend advies en mogelijk een operatie. Tijdens het gehele proces wordt ingezet op zelfzorg, leefstijl, duurzaam blijven bewegen en inzet van digitale zorg.

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Samenwerking

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Buurtsportcoach