H.J.P Fokkenrood

Innovative strategies for
intermittent claudication

towards a stepped care approach and new outcome measures



 Increasingly unaffordable health care costs force care providers to develop economically viable and efficient health care plans in the near future. Nowadays, only a minority of all newly diagnosed peripheral arterial occlusive disease (PAOD) patients receives an efficient and structured conservative treatment for their disease. The aim of the present article is to introduce an innovative effective treatment model termed ClaudicatioNet. This concept was launched in the Netherlands as a means to tackle these 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 healthcare chains on a national level. Improved quality is based on stimulating both a theoretical and practical base of knowledge, while eHealth and mHealth technologies are used to create clear insights of provided care to enhance quality control management. These technologies can be used to stimulate patient empowerment thereby increasing efficacy of PAOD treatment even more. This online community consists of a web portal with public and personal information supplemented with a mobile application. By connecting these tools, a social community is created where patients can meet and keep in touch with fellow patients whereas useful information for supervising healthcare professionals is provided.


 The ClaudicatioNet concept will likely create a more efficient and cost effective PAOD treatment by simply improve the quality of supervised training (SET) programs, extending its possibilities and stimulating patient empowerment by using eHealth and mHealth solutions. A free market principle is introduced by creating transparency of provided care by using objective and subjective outcome parameters. Cost effectiveness is achieved as SET programs will possibly substitute or postpone expensive invasive vascular interventions.