scholarly journals Length of stay, acculturation and transnational medical travel among Polish migrants in the Netherlands

2021 ◽  
Vol 84 ◽  
pp. 210-219
Author(s):  
Thijs van den Broek
Keyword(s):  
Length Of Stay ◽  
The Netherlands ◽  
Medical Travel ◽  
Polish Migrants

scholarly journals Childcare practices of Polish Migrants in the Netherlands: Comparison with the countries of origin and destination

2019 ◽  
Author(s):  
Alzbeta Bartova ◽  
Kasia Karpinska
Keyword(s):  
The Netherlands ◽  
Home Country ◽  
Institutional Context ◽  
Support Network ◽  
Social Support Network ◽  
Working Parents ◽  
Migrant Families ◽  
Sources Of Support ◽  
Polish Migrants ◽  
Migrant Parents

Both formal and informal types of child care are important sources of support for working parents andespecially women. However, little is known about the way migrant families combine their work andfamily responsibilities in the context of an absent or limited social support network. We explore this issueusing the example of Polish migrant parents living in the Netherlands and compare their practices tothose of their Dutch and Polish counterparts in the Netherlands and Poland. The aim of our research isto investigate whether migrant parents adapt to the new institutional context, draw on the childcarenorms of their home country, or whether they adopt a unique strategy that reflects their specific positionof migrants, formulated as separate hypotheses. We found support for all of the three hypotheses andshowed that the childcare practices of Polish parents living in the Netherlands are highly dependent onthe age of the youngest child. We also found that the extent to which Polish migrants integrate into theDutch society can be an important predictor of their childcare strategies when the children are veryyoung.

scholarly journals Differences in Characteristics and Outcome of Patients with Penetrating Injuries in the USA and the Netherlands: A Multi-institutional Comparison

2018 ◽  
Vol 42 (11) ◽  
pp. 3608-3615 ◽  
Author(s):  
Suzan Dijkink ◽  
Pieta Krijnen ◽  
Aglaia Hage ◽  
Gwendolyn M. Van der Wilden ◽  
George Kasotakis ◽  
...  
Keyword(s):  
Length Of Stay ◽  
The Netherlands ◽  
Hospital Mortality ◽  
Penetrating Trauma ◽  
Admission Rate ◽  
Population Characteristics ◽  
Penetrating Injuries ◽  
Icu Length Of Stay ◽  
Revised Trauma Score ◽  
The Usa

AbstractIntroductionThe incidence and nature of penetrating injuries differ between countries. The aim of this study was to analyze characteristics and clinical outcomes of patients with penetrating injuries treated at urban Level-1 trauma centers in the USA (USTC) and the Netherlands (NLTC).MethodsIn this retrospective cohort study, 1331 adult patients (470 from five NLTC and 861 from three USTC) with truncal penetrating injuries admitted between July 2011 and December 2014 were included. In-hospital mortality was the primary outcome. Outcome comparisons were adjusted for differences in population characteristics in multivariable analyses.ResultsIn USTC, gunshot wound injuries (36.1 vs. 17.4%,p < 0.001) and assaults were more frequent (91.2 vs. 77.7%,p < 0.001). ISS was higher in USTC, but the Revised Trauma Score (RTS) was comparable. In-hospital mortality was similar (5.0 vs. 3.6% in NLTC,p = 0.25). The adjusted odds ratio for mortality in USTC compared to NLTC was 0.95 (95% confidence interval 0.35–2.54). Hospital stay length of stay was shorter in USTC (difference 0.17 days, 95% CI −0.29 to −0.05,p = 0.005), ICU admission rate was comparable (OR 0.96, 95% CI 0.71–1.31,p = 0.80), and ICU length of stay was longer in USTC (difference of 0.39 days, 95% CI 0.18–0.60,p < 0.0001). More USTC patients were discharged to home (86.9 vs. 80.6%,p < 0.001). Readmission rates were similar (5.6 vs. 3.8%,p = 0.17).ConclusionDespite the higher incidence of penetrating trauma, particularly firearm-related injuries, and higher hospital volumes in the USTC compared to the NLTC, the in-hospital mortality was similar. In this study, outcome of care was not significantly influenced by differences in incidence of firearm-related injuries.

scholarly journals Impact of a well-developed primary care system on the length of stay in emergency departments in the Netherlands: a multicenter study

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Wendy A. M. H. Thijssen ◽  
Nicole Kraaijvanger ◽  
Dennis G. Barten ◽  
Marleen L. M. Boerma ◽  
Paul Giesen ◽  
...  
Keyword(s):  
Primary Care ◽  
Length Of Stay ◽  
The Netherlands ◽  
Multicenter Study ◽  
Emergency Departments ◽  
Primary Care System ◽  
Care System

scholarly journals PCV30 Heart Failure (Re)Admissions in the Netherlands: Rates, Length of Stay and Costs

2011 ◽  
Vol 14 (7) ◽  
pp. A369
Author(s):  
J.A. Overbeek ◽  
F.J.A. Penning-van Beest ◽  
R.M.C. Herings ◽  
I. Agodoa
Keyword(s):  
Heart Failure ◽  
Length Of Stay ◽  
The Netherlands

scholarly journals Real-time forecasting of COVID-19 bed occupancy in wards and Intensive Care Units

2021 ◽  
Author(s):  
Stef Baas ◽  
Sander Dijkstra ◽  
Aleida Braaksma ◽  
Plom van Rooij ◽  
Fieke J. Snijders ◽  
...  
Keyword(s):  
Mathematical Model ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
The Netherlands ◽  
Real Time ◽  
Data Warehouse ◽  
Intensive Care Units ◽  
Bed Occupancy ◽  
Control Centre

AbstractThis paper presents a mathematical model that provides a real-time forecast of the number of COVID-19 patients admitted to the ward and the Intensive Care Unit (ICU) of a hospital based on the predicted inflow of patients, their Length of Stay (LoS) in both the ward and the ICU as well as transfer of patients between the ward and the ICU. The data required for this forecast is obtained directly from the hospital’s data warehouse. The resulting algorithm is tested on data from the first COVID-19 peak in the Netherlands, showing that the forecast is very accurate. The forecast may be visualised in real-time in the hospital’s control centre and is used in several Dutch hospitals during the second COVID-19 peak.

scholarly journals Refugee Reception Re-examined: a Quantitative Study on the Impact of the Reception Period for Mental Health and Host Country Language Proficiency Among Syrian Refugees in the Netherlands

2021 ◽  
Author(s):  
Roxy Elisabeth Christina Damen ◽  
Jaco Dagevos ◽  
Willem Huijnk
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
The Netherlands ◽  
Language Learning ◽  
Language Proficiency ◽  
Host Country ◽  
Structural Equation ◽  
Negative Impact ◽  
Negative Relationship ◽  
The Impact

AbstractIn many European countries, refugees spend their first period after arrival in the receiving country in reception centers. Though this reception period has been heavily criticized, especially in relation to mental health, few scholars examined its impact on refugee integration. Since host country language learning is the main focus for most recent arrivals, this study re-examines the impact of the (renewed) reception period on both refugee mental health and host country language proficiency. Using a unique dataset including 3209 Syrian permitholders in the Netherlands, we test a structural equation model to examine those relations directly and indirectly. Results partly replicate previous findings, showing the negative impact of the number of relocations on mental health as well as the negative impact of both length of stay and relocations on host country language proficiency. Nevertheless, we did not find support for a negative relationship between length of stay and mental health. Moreover, the image of the reception period is not as gloomy as before; activities asylum seekers can engage in during their stay is positively related to both mental health and host country language proficiency. The relationships between both relocations and activities and host country language proficiency can partially be explained by mental health. These results indicate that the reception period can be seen as both an obstacle and a facilitator. Since the context of reception is a post-migration stressor, these findings should inform receiving societies and inspire them to accommodate their refugee reception accordingly, ensuring a smooth(er) start for future refugees.

Cost-Effectiveness of Itraconazole for the Prophylaxis of Invasive Fungal Infections for Neutropenic Patients; a Study for 3 European Countries.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 3133-3133
Author(s):  
Maarten J. Postma ◽  
Robin de Vries ◽  
Harriet Christopherson ◽  
Sarah Howells ◽  
Keith Tolley ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Length Of Stay ◽  
The Netherlands ◽  
Cost Saving ◽  
Fungal Infections ◽  
Hematologic Malignancies ◽  
Invasive Fungal Infections ◽  
Invasive Infection ◽  
Economic Point ◽  
Neutropenic Patients

Abstract Background: Invasive fungal infections present a leading cause of mortality and morbidity in neutropenic patients treated for hematologic malignancies. As the diagnosis and management of invasive fungal infections is difficult, effective antifungal prophylaxis is desirable. Itraconazole is a broad spectrum antifungal agent with activity against Candida species as well as Aspergillus species, whereas fluconazole primarily targets Candida. There is no published data comparing cost-effectiveness of both antifungal agents. Objective: To asses the cost-effectiveness of itraconazole compared with (i) prophylactic fluconazole and with (ii) no prophylaxis in the prevention of invasive fungal infections in Germany, the Netherlands and the UK. Methods: A probabilistic decision model was designed to evaluate the incremental cost-effectiveness of itraconazole versus fluconazole and versus no prophylaxis (see Figure). Baseline risks for invasive fungal infections and risk reductions for itraconazole (&gt;200mg/day) and fluconazole (400mg/day PO or 200mg/day IV) were taken from studies recently published in two meta-analyses. Costs were evaluated from the health care perspective. Drug acquisition costs for the two prophylactic regimens were calculated using 2003 prices. We estimated the increase in the length of stay as a result of an invasive infection using local or national databases and costed this using reference prices. Results: The meta-analysis revealed that itraconazole is effective in averting invasive fungal disease, in particular aspergillosis. The mean increase in the length of stay for invasive fungal infections was estimated at 9.3 days (rather similar for all 3 countries). As an illustration for our findings: in the Netherlands, itraconazole prophylaxis was expected to be cost-saving compared to fluconazole and provided limited extra costs compared to no prophylaxis at all. Cost-effectiveness was €470 per invasive infection averted for the itraconazole compared to no prophylaxis (95%-CI ranging from cost-saving to €5926 per infection averted). Other country-specific results will be presented at the conference. Discussion & Conclusions: Our study shows that itraconazole prophylaxis is effective and is clinically likely to result in cost-savings or provide an acceptable cost-effectiveness. Itraconazole should be the first choice in the prophylaxis of invasive fungal infections in neutropenic patients with hematologic malignancies, from the clinical and economic point of view. Figure Figure

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