Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Effectiveness and Cost-effectiveness of Telemedicine for Chronic Obstructive Pulmonary Disease: The Danish "TeleCare North" Pragmatic Cluster-randomized Trial.
Brief Summary: There are two main aims in this study. The first objective is to evaluate whether a particular telehealth solution, in addition to standard treatment and care, lead to a significant decrease in the mortality and an increase in health related quality of life for patients suffering from COPD that may benefit from telehealth compared with only standard treatment and care. The second objective is to examine the additional costs of the telehealth solution and assess whether this solution is a cost-effective way to care for patients with COPD across patients and municipality districts.

It is hypothesized that telehealth care will increase patients quality adjusted life years at both the cluster and individual level compared to usual practice, since no difference in mortality and a higher health related quality of life is expected. Furthermore, it is hoped that there will be a 30% reduction in the number of admissions and readmissions to hospitals and a 30% reduction in the number of outpatient visits resulting in fewer costs for hospitals. However, it is uncertain as to whether these savings are offset by other costs such as more visits to general practitioners, community care or the implementation costs.


Options:
A: Arm Label: Telemedicine; Type: ACTIVE_COMPARATOR; Interventions: Device: Telemedicine | Arm Label: Usual care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: DEVICE; Name: Telemedicine; Assigned to Arm(s): Telemedicine
B: Arm Label: Control group; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Self monitoring for patients with COPD; Type: EXPERIMENTAL; Interventions: Procedure: self-monitoring for patients with severe COPD | Arm Label: Nurse monitoring for patients with COPD; Type: EXPERIMENTAL; Interventions: Procedure: nurse-monitoring for patients with severe COPD | Intervention Type: PROCEDURE; Name: self-monitoring for patients with severe COPD; Assigned to Arm(s): Self monitoring for patients with COPD | Intervention Type: PROCEDURE; Name: nurse-monitoring for patients with severe COPD; Assigned to Arm(s): Nurse monitoring for patients with COPD
C: Arm Label: Remote-Monitoring Program; Type: EXPERIMENTAL; Interventions: Device: Cloud Dx Kit with remote-monitoring | Arm Label: Self-Monitoring Program; Type: EXPERIMENTAL; Interventions: Device: Cloud Dx Kit with self-monitoring | Arm Label: Standard of Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: DEVICE; Name: Cloud Dx Kit with self-monitoring; Assigned to Arm(s): Self-Monitoring Program | Intervention Type: DEVICE; Name: Cloud Dx Kit with remote-monitoring; Assigned to Arm(s): Remote-Monitoring Program
D: Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: pulmonary outpatient rehabilitation; Type: ACTIVE_COMPARATOR; Interventions: Procedure: pulmonary outpatient rehabilitation | Intervention Type: PROCEDURE; Name: pulmonary outpatient rehabilitation; Assigned to Arm(s): pulmonary outpatient rehabilitation

Answer: A