title: Quality of care in patients with psoriasis: an initial clinical study of an international disease management programme.
abstract: BACKGROUND
  Patients with psoriasis have to cope with their disease for many years or even throughout their entire life. To provide optimal care, a disease management programme was developed. This programme consisted of disease education, disease management training, and psychological support, together with topical treatment.
  
  
  OBJECTIVE
  To test a disease management programme in dermatological practice, to assess patients' satisfaction with this programme, and adherence to topical treatment. Additionally, disease severity and quality of life were assessed.
  
  
  METHODS
  An initial clinical investigation was conducted in 10 European treatment centres. A total of 330 patients were included. Patient satisfaction, adherence, disease severity and quality of life were measured with study-specific and standardized self-report questionnaires.
  
  
  RESULTS
  Patients reported a high degree of satisfaction with the programme, and a high degree of adherence to topical treatment. Disease severity and quality of life significantly improved. The programme was well received by the participating professionals.
  
  
  CONCLUSIONS
  The disease management programme was found to be a useful tool in the management of psoriasis, providing patients with relief from the burden of psoriasis in everyday life. A full-scale evaluation is recommended.
authors.affiliation: Department of Dermatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. j.dekorte@amc.uva.nl
authors.forename: J
authors.initials: J
authors.lastname: de Korte
authors.forename: J
authors.initials: J
authors.lastname: Van Onselen
authors.forename: S
authors.initials: S
authors.lastname: Kownacki
authors.forename: M A G
authors.initials: MA
authors.lastname: Sprangers
authors.forename: J D
authors.initials: JD
authors.lastname: Bos
mesh_terms: D003879:Dermatologic Agents / Q000627:therapeutic use*; D019468:Disease Management; D005060:Europe; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011446:Prospective Studies; D011565:Psoriasis / Q000188:drug therapy*; D011787:Quality of Health Care; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
chemical_list: D003879:Dermatologic Agents