Actors | Roles | Complexity | ICT support |
|---|
patient | COPD-moderate | Self-management | PC | PHF-PDSS |
patient | COPD-complex | Self-management | PC&Specialist | PHF-PDSS |
patient | COPD-co-morb | Self-management | PC&Specialist | PHF-PDSS |
Primary Care | Clinical | Primary Care | CDSS |
Specialized Care | Clinical | Secondary Care | CDSS |
Clinical Scientist | Research | Academic | DHF-research |
Basic Scientist | Research | Academic | DHF-research |
- COPD-moderate, patient with moderate functional impairment and low activity disease; COPD-complex, patient with moderate to severe functional impairment with active disease both at pulmonary and systemic levels (skeletal muscle dysfunction/wasting); COPD-co-morb, patient with moderate functional impairment, high activity disease and co-morbid conditions (metabolic syndrome and cardiac failure);PC, Primary Care professionals (doctor & nurse); Specialized Care, Specialized Care (doctor&nurse); Clinical Scientist, Translational research with clinical focus; Basic Scientist, Translational research with focus on basic sciences; PHF-PDSS, personal health folder including Patient Decision Support Systems; CDSS, Clinical Decision Support Systems; DHF-research, Digital Health Framework-Biomedical research platform.
