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A multidisciplinary network for the care of abnormal fatigue and chronic fatigue syndrome in the provinces of East and West Flanders in Belgium

(2014) ACTA CLINICA BELGICA. 69(5). p.327-334
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Abstract
The organization of care for patients with the chronic fatigue syndrome (CFS) in tertiary care referral centres from 2002 onwards, was negatively evaluated by the Belgian Health Care Knowledge Centre on the endpoint of socio-professional reintegration. Subsequently, the federal health authorities asked for the elaboration of a new and innovative model of stepped care, aiming at improved integration of diagnosis and treatment into primary care and between levels of health care for patients with CFS. The reference centre of the University Hospital Ghent took the initiative of recruiting partners in the Belgian provinces of East and West Flanders to guarantee the care for patients with medically unexplained symptoms, in particular abnormal fatigue and CFS. A new and innovative care model, in which general practitioners play a central role, emphasizes the importance of early recognition of the patient 'at risk', correct diagnosis and timely referral. Early detection and intervention is essential in order to avoid or minimize illness progression towards chronicity, to safeguard opportunities for significant health improvement as well as to enhance successful socio-professional reintegration. This approach covers both the large sample of patients developing somatic complaints without obvious disease in an early phase as well as the more limited group of patients with chronic illness, including CFS. Cognitive behavioural therapy and graded exposure/exercise therapy are the evidence based main components of therapy in the latter. A biopsychosocial model underlies the proposed path of care.
Keywords
Chronic fatigue syndrome, Abnormal fatigue, Network, Care path, General practitioner, COGNITIVE-BEHAVIORAL THERAPY, FUNCTIONAL SOMATIC SYNDROMES, METAANALYSIS

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Citation

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Chicago
Tobback, Els, An Mariman, Stefan Heytens, Tom Declercq, An Bouwen, Daniel Spooren, Piet Snoeck, et al. 2014. “A Multidisciplinary Network for the Care of Abnormal Fatigue and Chronic Fatigue Syndrome in the Provinces of East and West Flanders in Belgium.” Acta Clinica Belgica 69 (5): 327–334.
APA
Tobback, E., Mariman, A., Heytens, S., Declercq, T., Bouwen, A., Spooren, D., Snoeck, P., et al. (2014). A multidisciplinary network for the care of abnormal fatigue and chronic fatigue syndrome in the provinces of East and West Flanders in Belgium. ACTA CLINICA BELGICA, 69(5), 327–334.
Vancouver
1.
Tobback E, Mariman A, Heytens S, Declercq T, Bouwen A, Spooren D, et al. A multidisciplinary network for the care of abnormal fatigue and chronic fatigue syndrome in the provinces of East and West Flanders in Belgium. ACTA CLINICA BELGICA. 2014;69(5):327–34.
MLA
Tobback, Els, An Mariman, Stefan Heytens, et al. “A Multidisciplinary Network for the Care of Abnormal Fatigue and Chronic Fatigue Syndrome in the Provinces of East and West Flanders in Belgium.” ACTA CLINICA BELGICA 69.5 (2014): 327–334. Print.
@article{5762585,
  abstract     = {The organization of care for patients with the chronic fatigue syndrome (CFS) in tertiary care referral centres from 2002 onwards, was negatively evaluated by the Belgian Health Care Knowledge Centre on the endpoint of socio-professional reintegration. Subsequently, the federal health authorities asked for the elaboration of a new and innovative model of stepped care, aiming at improved integration of diagnosis and treatment into primary care and between levels of health care for patients with CFS. The reference centre of the University Hospital Ghent took the initiative of recruiting partners in the Belgian provinces of East and West Flanders to guarantee the care for patients with medically unexplained symptoms, in particular abnormal fatigue and CFS. A new and innovative care model, in which general practitioners play a central role, emphasizes the importance of early recognition of the patient 'at risk', correct diagnosis and timely referral. Early detection and intervention is essential in order to avoid or minimize illness progression towards chronicity, to safeguard opportunities for significant health improvement as well as to enhance successful socio-professional reintegration. This approach covers both the large sample of patients developing somatic complaints without obvious disease in an early phase as well as the more limited group of patients with chronic illness, including CFS. Cognitive behavioural therapy and graded exposure/exercise therapy are the evidence based main components of therapy in the latter. A biopsychosocial model underlies the proposed path of care.},
  author       = {Tobback, Els and Mariman, An and Heytens, Stefan and Declercq, Tom and Bouwen, An and Spooren, Daniel and Snoeck, Piet and Van Dessel, Karine and D'Hooghe, Simon and RIMBAUT, STEVEN and Vogelaers, Dirk},
  issn         = {1784-3286},
  journal      = {ACTA CLINICA BELGICA},
  language     = {eng},
  number       = {5},
  pages        = {327--334},
  title        = {A multidisciplinary network for the care of abnormal fatigue and chronic fatigue syndrome in the provinces of East and West Flanders in Belgium},
  url          = {http://dx.doi.org/10.1179/2295333714Y.0000000056},
  volume       = {69},
  year         = {2014},
}

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