- Health Systems, Economic Evaluations, Quality of Life
- Global Health Workforce Issues
- Global Maternal and Child Health
- Global Health and Surgery
- Medication Adherence and Compliance
- Pharmacological Effects and Toxicity Studies
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Pharmaceutical Practices and Patient Outcomes
- Hip disorders and treatments
- Patient Satisfaction in Healthcare
- Economic and Environmental Valuation
- Orthopaedic implants and arthroplasty
- Clinical practice guidelines implementation
- Bone health and osteoporosis research
- Healthcare Policy and Management
- Healthcare Systems and Reforms
Maastricht University
2018-2023
Radboud University Nijmegen
2017-2019
Radboud University Medical Center
2017-2019
Maastricht University Medical Centre
2016
Having to pay out-of-pocket for health care can be prohibitive and even cause financial catastrophe patients, especially those with low irregular incomes. Health services at Government-owned hospitals in Malawi are provided free of charge but patients do incur costs when they access facilities some them forego income. This research paper presents findings on the direct indirect expenditure incurred by who underwent hernia surgery district central Malawi. It reports main cost drivers, how...
Given the health and economic burden of fractures related to osteoporosis, suboptimal adherence medication increasing importance shared-decision making, Improvement osteoporosis Care Organized by Nurses (ICON) study was designed evaluate effectiveness, cost-effectiveness feasibility a multi-component intervention (MCAI) for patients with an indication treatment anti-osteoporosis medication, following assessment at Fracture Liaison Service after recent fracture. The MCAI involves two...
Three district hospitals in Malawi that provide essential surgery, which for many patients can be lifesaving or prevent disability, formed the setting of this costing study.All resources used at delivery surgery were identified and quantified. The hospital departments divided into three categories cost centres-the final centre, intermediate ancillary centres. All costs human resources, buildings, equipment, medical non-medical supplies utilities quantified allocated to through step-down...
Ghana introduced capitation payment for primary care in 2012 with the view to containing escalating claims expenditure. This shift provider method raised issues about its potential impact on patient-provider trust relationship and insured-patients' National Health Insurance Scheme. paper presents findings of a study that explored perception about, attitude towards Ghana; determined whether affect their preferred Scheme general.We adopted survey design study. We administered closed-ended...
This study revealed patterns in osteoporosis patients' treatment preferences, which cannot be related to socio-demographic or clinical characteristics, implicating unknown underlying reasons. Therefore, improve quality of care and treatment, patients should have an active role choice, irrespective their characteristics. Patient centeredness is important the care. Accounting for patient preferences a key element centeredness, understanding are successful adherent treatment. was designed...
This study describes the development of a decision aid (DA), aimed at supporting patients in their whether to start anti-osteoporosis medication. People with recent fractures or osteoporosis and health professionals were supportive DA initiative. An experimental been started assess (cost-)effectiveness DA. At fracture liaison services (FLS), ánd prevalent vertebral are advised medication (AOM). (DA) support healthcare providers (HCPs) about AOM. The was developed according International...
The lack of access to quality-assured surgery in rural parts sub-Saharan Africa, where the numbers trained health workers are often insufficient, presents challenges for national governments. case investing scaling up surgical systems low-resource settings is 3-fold: potential beneficial impact on a large proportion global burden disease; better populations who have greatest unmet need; and economic case. losses from untreated conditions far exceed any expenditure that would be required...