Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot209710.32687/0869-866X-2023-31-s2-1153-1158Научная статьяRISK FACTORS, TREATMENT ORGANIZATION AND QUALITY INDICATORS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN PRIMARY CARE SETTINGS: DUTCH EXPERIENCEAndreevD. A.KamyninaN. N.Research Institute for Healthcare Organization and Medical Management, 115088, Moscow, Russia0212202331\S21153115805082025Copyright © 1970,1970Introduction. Chronic obstructive pulmonary disease (COPD), usually in advanced stages, is associated with high mortality, being the third leading cause of death worldwide. In the Netherlands, care delivery to patients with COPD has become a focus of the regional medical community, since the COPD death rates in this country are higher than the European Union average. However, between 2011 and 2021, the number of people with COPD (under follow-u by general practitioners) decreased. The experience of this country is interesting, as a large set of measures to improve the situation has been developed and implemented in this region. The purpose of the study was to analyze the experience of the Netherlands in organizing medical care for COPD in primary care settings. Material and methods. The search for scientific literature sources was carried out using the PubMed database and Google system. The search time horizon equaled to 5 years. Results. In the Netherlands, in the system of care delivery to patients with COPD, primary care settings are heavily burdened. The article summarizes approaches to identify COPD risk factors, summarizes current clinical recommendations as of December 2022, and highlights findings of the study on medical digital platforms with the potential to organize continuous monitoring of patients. The paper exemplifies criteria for assessing the treatment quality in specialized care settings, including primary care. Discussion. It is assumed that the most effective measure to further improve efficacy of COPD treatment is the introduction of remote digital medical devices. A possible integration of the updated standards and quality indicators into digital services will further strengthen the concept of continuous automated remote monitoring of COPD patients. Evidence-based selection and introduction of effective digital solutions into current practice will improve quality of care delivery to patients.chronic obstructive pulmonary diseaserisk factor’standards and quality of medical careinformation technologieshealthcare organizationхроническая обструктивная болезнь лёгкихфакторы рискастандарты и качество медицинской помощицифровизацияорганизация здравоохранения1.Hajat C, Stein E. The global burden of multiple chronic conditions: A narrative review // Prev. Med. rep. 2018. 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