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Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights?

Michaud, P.A. (author), Visser, A. (author), Vervoort, J.P.M. (author), Kocken, P. (author), Reijneveld, S.A. (author), Blair, M. (author), Rigby, M. (author), Weber, M. (author), Jansen, D. (author)

Background and objectives Adolescent sexual and reproductive health and rights (SRHR) are of particular relevance given their potential short-term or long-term health consequences. This study evaluates recommendations and policies regarding access to care in this area in 31 European countries (European Union (EU) plus Iceland, Norway and...

article 2020

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Factors influencing the implementation of Home-Based Stroke Rehabilitation: Professionals' perspective

van der Veen, D.J. (author), Döpp, C.M. (author), Siemonsma, P.C. (author), Nijhuis-van der Sanden, M.W.G. (author), de Swart, B.J.M. (author), Steultjens, E.M. (author)

Background: Stroke has a major impact on survivors and their social environment. Care delivery is advocated to become more client-centered and home-based because of their positive impact on client outcomes. The objective of this study was to explore professionals' perspectives on the provision of Home-Based Stroke Rehabilitation (HBSR) in the...

article 2019

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Primary care in five European countries: A citizens’ perspective on the quality of care for children

van Til, J.A. (author), Groothuis-Oudshoorn, C.G.M. (author), Vlasblom, E. (author), Kocken, P.L. (author), Boere-Boonekamp, M.M. (author)

Objective. As part of the Models of Child Health Appraised (MOCHA) project, this study aimed to answer the following research questions: 1) How do European citizens perceive the quality of primary health care provided for children? And 2) What are their priorities with respect to quality assessment of primary health care aimed at satisfying...

article 2019

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Typology of birth centres in the Netherlands using the Rainbow model of integrated care: Results of the Dutch Birth Centre Study

Boesveld, I.C. (author), Bruijnzeels, M.A. (author), Hitzert, M. (author), Hermus, M.A.A. (author), van der Pal-de Bruin, K.M. (author), van den Akker-van Marle, M.E. (author), Steegers, E.A.P. (author), Franx, A. (author), de Vries, R.G. (author), Wiegers, T.A. (author)

Background: The goal of integrated care is to offer a continuum of care that crosses the boundaries of public health, primary, secondary, and tertiary care. Integrated care is increasingly promoted for people with complex needs and has also recently been promoted in maternity care systems to improve the quality of care. Especially when located...

article 2017

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How do parents experience support after the death of their child?

Gijzen, S. (author), L' Hoir, M.P. (author), Boere-Boonekamp, M.M. (author), Need, A. (author)

Background A child’s death is an enormous tragedy for both the parents and other family members. Support for the parents can be important in helping them to cope with the loss of their child. In the Netherlands little is known about parents’ experiences of the support they receive after the death of their child. The purpose of this study is to...

article 2016

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Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands

Perdok, H. (author), Jans, S. (author), Verhoeven, C. (author), Henneman, L. (author), Wiegers, T. (author), Mol, B.W. (author), Schellevis, F. (author), de Jonge, A. (author)

Background This study aims to give insight into the opinions of maternity care professionals and other stakeholders on the integration of midwife-led care and obstetrician-led care and on the facilitating and inhibiting factors for integrating maternity care. Methods Qualitative study using interviews and focus groups from November 2012 to...

article 2016

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Detecting child abuse based on parental characteristics: Does The Hague Protocol cause parents to avoid the Emergency Department?

Diderich, H.M. (author), Fekkes, M. (author), Dechesne, M. (author), Buitendijk, S.E. (author), Oudesluys-Murphy, A.M. (author)

Objectives: The Hague Protocol is used by professionals at the adult Emergency Departments (ED) in The Netherlands to detect child abuse based on three parental characteristics: (1) domestic violence, (2) substance abuse or (3) suicide attempt or self-harm. After detection, a referral is made to the Reporting Center for Child Abuse and Neglect ...

article 2015

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Merits of exercise therapy before and after major surgery

Hoogeboom, T.J. (author), Dronkers, J.J. (author), Hulzebos, E.H.J. (author), van Meeteren, N.L.U. (author)

PURPOSE OF REVIEW: Advances in medical care have led to an increasing elderly population. Elderly individuals should be able to participate in society as long as possible. However, with an increasing age their adaptive capacity gradually decreases, specially before and after major life events (like hospitalization and surgery) making them...

article 2014

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Comparing high altitude treatment with current best care in Dutch children with moderate to severe atopic dermatitis (and asthma): Study protocol for a pragmatic randomized controlled trial (DAVOS trial)

Fieten, K.B. (author), Zijlstra, W.T. (author), van Os-Medendorp, H. (author), Meijer, Y. (author), Venema, M.U. (author), Rijssenbeek-Nouwens, L. (author), l' Hoir, M.P. (author), Bruijnzeel-Koomen, C.A. (author), Pasmans, S.G.M.A. (author)

Background: About 10 to 20% of children in West European countries have atopic dermatitis (AD), often as part of the atopic syndrome. The full atopic syndrome also consists of allergic asthma, allergic rhinitis and food allergy. Treatment approaches for atopic dermatitis and asthma include intermittent anti-inflammatory therapy with...

article 2014

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Etnische verschillen in de voorkeur voor thuisbevallingen en het zorgtraject dat zwangeren doorlopen [Ethnic differences in preference for home delivery and in pregnancy care received by pregnant women]

Anthony, S. (author), Amelink-Verburg, M.P. (author), Korfker, D.G. (author), van Huis, A.M. (author), van der Pal-de Bruin, K.M. (author), TNO Kwaliteit Van Leven (author)

Objective. To investigate differences among pregnant women from various ethnic groups in terms of pregnancy care and the place of delivery. Design. Descriptive, retrospective study. Method. Data from the Dutch Perinatal Registries during the period 1995-2002, representing a total of 1,401,892 pregnancies, were linked and analysed for perinatal...

article 2008

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Pre-conception counselling in primary care: Prevalence of risk factors among couples contemplating pregnancy

de Pal van der-Bruin, K.M. (author), le Cessie, S. (author), Elsinga, J. (author), Jong de-Potjer, L.C. (author), van Haeringen, A. (author), Knuistingh Neven, A. (author), Verloove-Vanhorick, S.P. (author), Assendelft, P. (author), TNO Kwaliteit van Leven (author)

The outcome of pregnancy can be influenced by several risk factors. Women who are informed about these risks during pre-conception counselling (PCC) have an opportunity to take preventive measures in time. Several studies have shown that high-risk populations have a high prevalence of such risk factors. However, prevalence in the general...

article 2008

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Increased blood loss in upright birthing positions originates from perineal damage

de Jonge, A. (author), van Diem, M.T. (author), Scheepers, P.L.H. (author), van der Pal-de Bruin, K.M. (author), Lagro-Janssen, A. (author), TNO Kwaliteit van Leven (author)

Objective: To assess whether the risk of severe blood loss is increased in semi-sitting and sitting position, and if so, to which extent blood loss from perineal damage is responsible for this finding. Design: Secondary analysis of data from a large trial. Setting: Primary care midwifery practices in the Netherlands. Population: About 1646 low...

article 2007

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Low-back pain definitions in occupational studies were categorized for a meta-analysis using Delphi consensus methods

Griffith, L.E. (author), Hogg-Johnson, S. (author), Cole, D.C. (author), Krause, N. (author), Hayden, J. (author), Burdorf, A. (author), Leclerc, A. (author), Coggon, D. (author), Bongers, P. (author), Walter, S.D. (author), Shannon, H.S. (author), TNO Kwaliteit van Leven (author)

Objective: To determine which literature-based definitions of low back pain (LBP) could be combined to produce sufficiently similar sets for use in a meta-analysis. Study Design and Setting: A group of six international experts participated in an e-mail-administered Delphi process. Literature-based LBP definitions were preliminarily classified...

article 2007

document

Metabolomics-based systems biology and personalized medicine: Moving towards n = 1 clinical trials?

van der Greef, J. (author), Hankemeier, T. (author), McBurney, R.N. (author), TNO Kwaliteit van Leven (author)

Personalized medicine - defined as customized medical care for each patient's unique condition - in the broader context of personalized health, will make significant strides forward when a systems approach is implemented to achieve the ultimate in disease phenotyping and to create novel therapeutics that address system-wide molecular...

article 2006

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Toward targeted hypertension screening guidelines

van Buuren, S. (author), Boshuizen, H.C. (author), Reijneveld, S.A. (author), TNO Kwaliteit van Leven (author)

Background. Guidelines for screening and subsequent treatment of hypertension vary widely between countries. Part of this variation can be attributed to systematic differences between populations, but little is known about the way in which guidelines should be targeted to the population of interest. Optimal guidelines should have high yield and...

article 2006

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Physical exercise interventions to improve disability and return to work in low back pain: Current insights and opportunities for improvement

Staal, J.B. (author), Rainville, J. (author), Fritz, J. (author), van Mechelen, W. (author), Pransky, G. (author), TNO Kwaliteit van Leven (author)

Introduction: There is a body of literature that indicates that physical exercise interventions, with a primary focus on improvement of functioning instead of pain relief, might be effective to stimulate return to work and improve function in workers who are absent from work due to low back pain (LBP). Successful application and implementation...

article 2005

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Stage-based lifestyle interventions in primary care: Are they effective?

van Sluijs, E.M.F. (author), van Poppel, M.N.M. (author), van Mechelen, W. (author), TNO Preventie en Gezondheid (author)

Background To systematically review the literature concerning the effect of stages-of-change-based interventions in primary care on smoking, physical activity, and dietary behavior. Methods An extensive search (until July 2002) was performed using the following inclusion criteria: (1) (randomized) controlled trial (RCT/CT), (2) intervention...

article 2004

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Use of HRQOL questionnaires to facilitate patient-physician communication

Detmar, S.B. (author), TNO Preventie en Gezondheid (author)

article 2003

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Optimale zorg voor kinderen met het Down-syndroom en voor hun ouders [Optimal medical care for children with Down's syndrome and their parents]

van Wouwe, J.P. (author), Siderius, E.J. (author), Borstlap, R. (author), Nijenhuis, Th.A. (author), Hirasing, R.A. (author)

Children with Down's syndrome have an increased risk of congenital anomalies and additional medical problems. These can be treated but are often seen as part of the syndrome and not as the cause of developmental retardation. Based on the current level of knowledge, specific medical tests and evaluations are recommended. The reasons for these...

article 2001

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Do patients matter? Contribution of patient and care provider characteristics to the adherence of general practitioners and midwives to the Dutch national guidelines on imminent miscarriage

Fleuren, M. (author), van der Meulen, M. (author), Wijkel, D. (author)

Objective - To assess the relative contribution of patient and care provider characteristics to the adherence of general practitioners (GPs) and midwives to two specific recommendations in the Dutch national guidelines on imminent miscarriage. The study focused on performing physical examinations at the first contact and making a follow up...

article 2000