Health Problems Presented to Family Practices in The Netherlands 1 Year Before and 1 Year After a Disaster

This study examines utilisation of the Dutch health care system by Chinese people in the Netherlands as well as their attitudes to the system, paying special attention to mental health. Information was gathered by semistructured interviews (). The main issues investigated are access, help-seeking behaviour, and quality of care. Results showed that most respondents used Dutch health care as their primary method of managing health problems. Inadequate knowledge about the system and lack of Dutch language proficiency impede access to care, in particular registration with a General Practitioner (GP). Users complained that the care given differed from what they expected. Results also showed that the major problems are to be found in the group coming from the Chinese-speaking region. Western concepts of mental health appear to be widely accepted by Chinese in the Netherlands. However, almost half of our respondents believed that traditional Chinese medicine or other methods can also help with mental health problems. The provision of relevant information in Chinese appears to be important for improving access. Better interpretation and translation services, especially for first-generation migrants from the Chinese-speaking region, are also required.

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Self-rated health and health problems of undocumented immigrant women in the Netherlands: A descriptive study

Journal of Public Health Policy ◽

10.1057/jphp.2009.32 ◽

2009 ◽

Vol 30 (4) ◽

pp. 409-422 ◽

Cited By ~ 28

Author(s):

M A Schoevers ◽

M E T C van den Muijsenbergh ◽

A L M Lagro-Janssen

Keyword(s):

The Netherlands ◽

Immigrant Women ◽

Descriptive Study ◽

Health Problems ◽

Undocumented Immigrant ◽

Self Rated Health

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Morbidity Rates in an Area with High Livestock Density: A Registry-Based Study Including Different Groups of Patients with Respiratory Health Problems

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17051591 ◽

2020 ◽

Vol 17 (5) ◽

pp. 1591 ◽

Cited By ~ 1

Author(s):

Christos Baliatsas ◽

Michel Dückers ◽

Lidwien A.M. Smit ◽

Dick Heederik ◽

Joris Yzermans

Keyword(s):

The Netherlands ◽

Chronic Conditions ◽

Respiratory Health ◽

Health Problems ◽

Health Data ◽

Control Area ◽

Dense Area ◽

Livestock Density ◽

General Practices ◽

Tract Infections

There is continuing debate and public health concern regarding the previously confirmed association between high livestock density and human health. The primary aim of the current study is to assess the prevalence of respiratory and other health problems in a livestock dense area in the Netherlands, based on recent longitudinal health data and a large sample. Analyses are expanded with the investigation of different subgroups of patients with respiratory health problems and the inclusion of various chronic and acute health outcomes, as well as prescribed medication. Prevalence of health symptoms and chronic conditions was assessed for the period 2014–2016, based on electronic health records registered in 26 general practices located in areas with intensive livestock farming in the Netherlands (“livestock dense area”, n = 117,459 unique residents in total). These were compared with corresponding health data from general practices (n = 22) in different rural regions with a low density of livestock farms or other major environmental exposures (“control area”, n = 85,796 unique residents in total). Multilevel regression models showed a significantly higher prevalence of pneumonia in the total sample in the livestock dense area, which was also observed among susceptible subgroups of children, the elderly, and patients with chronic obstructive pulmonary disease (COPD). Lower respiratory tract infections, respiratory symptoms, vertigo, and depression were also more common in the livestock dense area compared to the control area. In general, there were no significant differences in chronic conditions such as asthma, COPD, or lung cancer. Prescription rates for broad-spectrum antibiotics were more common among patients with pneumonia in the livestock dense area. Acute respiratory infections and symptoms, but not chronic conditions, were considerably more common in areas with a high livestock density. Identification of causal pathogens on the basis of serological analyses could further elucidate the underlying mechanisms behind the observed health effects.

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Examining differences in out-of-hours primary care use in Belgium and the Netherlands: a cross-sectional study

European Journal of Public Health ◽

10.1093/eurpub/ckz083 ◽

2019 ◽

Vol 29 (6) ◽

pp. 1018-1024 ◽

Cited By ~ 5

Author(s):

Marleen Smits ◽

Annelies Colliers ◽

Tessa Jansen ◽

Roy Remmen ◽

Stephaan Bartholomeeusen ◽

...

Keyword(s):

Primary Care ◽

General Practitioner ◽

The Netherlands ◽

Health Problem ◽

Cross Sectional Study ◽

Health Problems ◽

Electronic Health Record Data ◽

Cross Sectional ◽

Out Of Hours ◽

Organizational Differences

AbstractBackgroundThe organizational model of out-of-hours primary care is likely to affect healthcare use. We aimed to examine differences in the use of general practitioner cooperatives for out-of-hours care in the Netherlands and Belgium (Flanders) and explore if these are related to organizational differences.MethodsA cross-sectional observational study using routine electronic health record data of the year 2016 from 77 general practitioner cooperatives in the Netherlands and 5 general practitioner cooperatives in Belgium (Flanders). Patient age, gender and health problem were analyzed using descriptive statistics.ResultsThe number of consultations per 1000 residents was 2.3 times higher in the Netherlands than in Belgium. Excluding telephone consultations, which are not possible in Belgium, the number of consultations was 1.4 times higher. In Belgium, the top 10 of health problems was mainly related to infections, while in the Netherlands there were a larger variety of health problems. In addition, the health problem codes in the Dutch top 10 were more often symptoms, while the codes in the Belgian top 10 were more often diagnoses. In both countries, a relatively large percentage of GPC patients were young children and female patients.ConclusionDifferences in the use of general practitioner cooperatives seem to be related to the gatekeeping role of general practitioners in the Netherlands and to organizational differences such as telephone triage, medical advice by telephone, financial thresholds and number of years of experience with the system. The information can benefit policy decisions about the organization of out-of-hours primary care.

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Do ‘flexicurity’ Policies Work for People With Low Education and Health Problems? A Comparison of Labour Market Policies and Employment Rates in Denmark, The Netherlands, Sweden, and the United Kingdom 1990–2010

International Journal of Health Services ◽

10.1177/0020731415600408 ◽

2015 ◽

Vol 45 (4) ◽

pp. 679-705 ◽

Cited By ~ 21

Author(s):

Ashley McAllister ◽

Lotta Nylén ◽

Mona Backhans ◽

Katarina Boye ◽

Karsten Thielen ◽

...

Keyword(s):

United Kingdom ◽

The Netherlands ◽

Labour Market ◽

Health Problems ◽

Labour Market Policies ◽

The United Kingdom ◽

Education And Health ◽

Low Education ◽

Employment Rates

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‘Patients come with two garbage bags full of problems and we have to sort them.’ A qualitative study of the experiences of healthcare professionals on patients admitted to short-term residential care in the Netherlands

Age and Ageing ◽

10.1093/ageing/afab011 ◽

2021 ◽

Author(s):

Judith H van den Besselaar ◽

Linda Hartel ◽

Joost D Wammes ◽

Janet L MacNeil-Vroomen ◽

Bianca M Buurman

Keyword(s):

Older Adults ◽

Qualitative Study ◽

The Netherlands ◽

Residential Care ◽

General Health ◽

Healthcare Professionals ◽

Health Problems ◽

Short Term ◽

Patient Journey ◽

Return Home

Abstract Background Short-term residential care (STRC) facilities were recently implemented in the Netherlands to provide temporary care to older adults with general health problems. The aim of STRC is to allow the individual to return home. However, 40% of patients are discharged to long-term care facilities. In-depth data about characteristics of patients admitted and challenges in providing STRC are missing. Objective To obtain perspectives of STRC professionals on the patient journey from admission to discharge. Design Qualitative study. Setting Eight nursing homes and three hospitals. Subjects A total of 28 healthcare professionals. Methods A total of 13 group interviews with in-depth reviews of 39 pseudonymised patient cases from admission to discharge. Interviews were analysed thematically. Results Many patients had complex problems that were underestimated at handover, making returning to home nearly impossible. The STRC eligibility criteria that patients have general health problems and can return home do not fit with current practice. This results in a mismatch between patient needs and the STRC that is provided. Therefore, planning care before and after discharge, such as advance care planning, social care and home adaptations, is important. Conclusions STRC is used by patients with complex health problems and pre-existing functional decline. Evidence-based guidelines, appropriate staffing and resources should be provided to STRC facilities. We need to consider the environmental context of the patient and healthcare system to enable older adults to live independently at home for longer.

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