Nivel-onderzoek laat zien dat de digitalisering van de Nederlandse eerstelijnszorg traag, ongelijk en gefragmenteerd verloopt: slechts een klein deel van de burgers had het afgelopen jaar volledig digitale afspraken met de huisarts, en waar huisartsen vrijwel altijd digitaal gegevens kunnen uitwisselen …

BACKGROUND: Clinical reasoning is fundamental to safe and effective Emergency Medical Services (EMS) care. EMS providers operate in dynamic, time-pressured environments characterised by diagnostic uncertainty, limited information, and high-stakes decisions. These conditions necessitate rapid yet adaptable …

OBJECTIVE: Telehealth is increasingly used to expand access to healthcare, but rapid digitalization risks exacerbating exclusion among frail older adults, who often face intersecting limitations related to health, resources, and digital competence. As this group frequently has complex care needs, mapping …

BACKGROUND: Children with acute abdominal pain pose a diagnostic challenge for general practitioners (GPs), as it can be difficult to distinguish appendicitis from self-limiting conditions due to overlapping symptoms. To support GPs, a diagnostic strategy for appendicitis was developed that integrates …

Healthcare systems face rising costs, aging populations, and increasing chronic conditions, creating a need for personalized, multidisciplinary care. Value-Based Health Care (VBHC) offers a promising approach by shifting focus from volume to value. Burn care is particularly suited for this model due …

Een filosofische beschouwing op moderne zorg.

Background: The number of older patients undergoing cardiac surgery is increasing, and a substantial proportion of these patients are frail. Frailty is associated with increased mortality, psychological complications, functional decline, and reduced health-related quality of life, complicating treatment …

This review aimed to describe self-management interventions for burn survivors and assess their effectiveness, while also examining interventions for comparable acute onset chronic conditions - myocardial infarction (MI) and lower extremity trauma (LET) - to gain broader insights. Following PRISMA guidelines, …

Met de toenemende vergrijzing in ons land zal er ook een toename plaatsvinden van het aantal ouderen met dementie. Dementie, met als voornaamste oorzaak de ziekte van Alzheimer, wordt in het algemeen vooral gezien als een ziekte waarbij cognitieve problemen optreden. Dat er ook al in een vroeg stadium …