A5038392308- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Lung Cancer Treatments and Mutations
- Healthcare Policy and Management
- Hospital Admissions and Outcomes
- Trauma and Emergency Care Studies
- Patient Satisfaction in Healthcare
- Head and Neck Cancer Studies
- Economic and Financial Impacts of Cancer
- Healthcare Systems and Technology
- Dermatological diseases and infestations
- Climate Change and Health Impacts
- Lung Cancer Diagnosis and Treatment
- Acute Myocardial Infarction Research
- Pneumonia and Respiratory Infections
- Global Health Care Issues
- Chronic Disease Management Strategies
- Pharmaceutical Economics and Policy
- Geriatric Care and Nursing Homes
- Pancreatic and Hepatic Oncology Research
- Clinical practice guidelines implementation
- Homelessness and Social Issues
- Diabetes Treatment and Management
- Radiomics and Machine Learning in Medical Imaging
- Stroke Rehabilitation and Recovery
Delft University of Technology
2023-2025
University of Twente
2021-2024
Maastricht University Medical Centre
2017-2021
Erasmus University Rotterdam
2011-2020
AstraZeneca (Netherlands)
2018-2020
University of Technology Sydney
2015-2019
Maastricht University
2014-2016
Institute of Technology Assessment
2015
3E (Belgium)
2015
Erasmus MC
2014
Dutch health economic guidelines include a costing manual, which describes preferred research methodology for studies and reference prices to ensure high quality comparability between study outcomes. This paper the most important revisions of manual compared previous version.An online survey was sent out potential users identify topics improvement. The aligned with contemporary guidelines. All sections parameter values needed studies, particularly prices, were updated. An expert panel...
In The Netherlands, the state of emergency department (ED) crowding is unknown. Anecdotal evidence suggests that current ED patients experience a longer length stay (LOS) compared to some years ago, which indicative crowding. However, no multicenter studies have been performed quantify LOS and assess at Dutch EDs. We this study describe departments in Netherlands regarding patients' nurse managers' experiences A survey was sent all 94 managers with questions type facility, annual census,...
Nearly all Dutch citizens have a general practitioner (GP), acting as gatekeeper to secondary care. Some patients bypass the GP and present emergency department (ED). To make best use of existing care, health policy makers insurance companies proposed integration EDs cooperatives (GPCs) into one facility. In this study, we examined ED assessed characteristics self-referrals non-self-referrals, their need for hospital care self-referrals' motives presenting at ED.A descriptive cohort study...
Unscheduled return visits to the emergency department (ED) may reflect shortcomings in care. This study characterized ED with respect incidence, risk factors, reasons and post-ED disposition. We hypothesized that factors for unscheduled returning would differ from previous studies, due differences health care systems.All occurring within 1 week related initial visit were selected. Multivariable logistic regression was conducted determine independent associated return, using patient...
Background The impact of delays in emergency department (ED) care has not been described European countries where ED crowding is universally recognized. aim this study was to determine the relationship with triage and treatment, 24-h mortality patients admitted ED. Methods Five years data from adults hospital were analysed retrospectively an inner-city Netherlands. Variables included following: crowded versus noncrowded time, time triage, category, age, 10-day mortality. Results A total 39...
Telemedicine in neonatal care (TeleNeonatology) has the potential to improve outcomes, address capacity challenges and influence emotional burden on parents. TeleNeonatology allows for real-time audiovisual communication between healthcare providers at different intensive units (NICUs). Despite high multiple use-cases, is primarily being used resuscitation yet be widely implemented Europe. Our study aims evaluate both implementation strategies effectiveness of a pilot The Netherlands. A...
The objective of this study is to assess the impact a multimodal intervention on emergency department (ED) crowding and patient flow in Dutch level 1 trauma center. In cross-sectional study, we compare ED between 9-month pre-intervention period period, during peak hours overall (24/7). included (1) adding an nurse practitioner (ENP) (2) five medical specialists 24/7 available physicians (EPs), (3) Lean programme improve radiology turnaround times, (4) extending admission offices' openings...
Background: Scarcity of prospective medication non-adherence cost measurements for the Australian population with no directly measured estimates makes determining burden places on health care system difficult. This study aims to indirectly estimate national in Australia comparing prior and following a community pharmacy-led intervention. Methods: Retrospective observational study. A de-identified database dispensing data from 20,335 patients (n=11,257 rosuvastatin, n=6,797 irbesartan n=2,281...
Abstract Background During a 6-year period, several process changes were introduced at the emergency department (ED) to decrease crowding, such as implementation of general practitioner cooperative (GPC) and additional medical staff during peak hours. In this study, we assessed effects these on three crowding measures: patients’ length stay (LOS), modified National ED OverCrowding Score (mNEDOCS), exit block while taking into account changing external circumstances, COVID-19 pandemic...
ObjectivesStage I non-small cell lung cancer (NSCLC) can be treated with either Stereotactic Body Radiotherapy (SBRT) or Video Assisted Thoracic Surgery (VATS) resection. To support decision making, not only the impact on survival needs to taken into account, but also quality of life, costs and cost-effectiveness. Therefore, we performed a cost-effectiveness analysis comparing SBRT VATS resection respect adjusted life years (QALY) lived in operable stage NSCLC.Materials methodsPatient level...
For patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck (R/M SCCHN), chemotherapy can prolong life alleviate symptoms. However, expected gains may be small, not necessarily outweighing considerable toxicity high costs. Treatment choice is to a large extent dependent on preferences doctors data these choices are scarce. The purpose this study obtain real-world information palliative systemic treatment costs R/M SCCHN in Netherlands. In six Dutch centers,...
Background Heatwaves have been linked to increased risk of mortality and morbidity are projected increase in frequency intensity due climate change. The current study uses emergency department (ED) data from Australia, Botswana, Netherlands, Pakistan, the United States America evaluate impact heatwaves on ED attendances, admissions mortality. Methods Routinely collected time series were obtained 18 hospitals. Two separate thresholds (≥4 ≥7) acclimatisation excess heat index (EHIaccl) used...
Objectives Health economic (HE) models are often considered as "black boxes" because they not publicly available and lack transparency, which prevents independent scrutiny of HE models. Additionally, validation efforts status systematically reported. Methods to validate in absence their full underlying code therefore urgently needed improve health policy making.This study aimed develop test a generic dashboard explore the workings model parameters outcomes. The Probabilistic Analysis Check...
The aim of this study was to assess the walkout rate and identify influencing patient visit characteristics on walkout. Furthermore, we assessed reasons for leaving medical care needs after leaving.In a 4-month population-based cohort study, factors from two emergency departments in Netherlands were studied. Afterwards, follow-up telephone interview conducted needed.A total 169 out 23 780 (0.7%) registered patients left without treatment, whom 62% triage. Of triaged walkouts, 26% had urgent...
Patients with high emergency department (ED) utilization account for a disproportionate number of ED visits. The existing research on has raised doubts about the homogeneity frequent user. Attention to differences among subgroups visitors (FV) and highly (HFV) is necessary in order plan more effective interventions. In Netherlands, incidence unknown. purpose this study was investigate if well-documented international also exists Netherlands so, characterize these patients. Therefore, we...
The aim of this study was to describe the impact additional medical specialists, non-emergency physicians (non-EPs), performing direct supervision or a combination and indirect at an EP-led emergency department (ED), on patient flow satisfaction.An observational, cross-sectional, three-part carried out including staff surveys (n=379), before after 16-week data collection using visits during peak hours (n=5270), questionnaires 1 week pilot 5 pilot. Content analysis descriptive statistics were...