Publications by authors named "A M Van Alphen"
Article Synopsis
- The study aimed to explore patients' views on the ethical principles for fair surgical resource allocation during the COVID-19 pandemic, as healthcare professionals' perspectives had been more highlighted.
- Researchers conducted a Q-methodology study with 16 patient representatives in the Netherlands, where participants ranked 20 statements on fair allocation and engaged in interviews.
- Two main perspectives emerged, both supporting utilitarianism: one focused on maximizing individual health outcomes based on clinical needs, while the other considered broader societal contributions alongside health gains.
Introduction: During the COVID-19 pandemic, prioritizing certain surgical patients became inevitable due to limited surgical capacity. This study aims to identify which factors patients value in priority setting, and to evaluate their perspective on a decision model for surgical prioritization.
Methods: We enacted a qualitative exploratory study and conducted semi-structured interviews with N = 15 patients.
Surgical prioritization based on decision model outcomes is not sensitive to differences between the health-related quality of life values estimates of physicians and citizens.
Anouk M I A van Alphen Eline M Krijkamp Benjamin Y Gravesteijn Robert J Baatenburg de Jong Jan J Busschbach
Qual Life Res
February 2024
Purpose: Decision models can be used to support allocation of scarce surgical resources. These models incorporate health-related quality of life (HRQoL) values that can be determined using physician panels. The predominant opinion is that one should use values obtained from citizens.
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- Orthostatic hypotension (OH) is a common issue in older adults, linked to various health problems like dizziness and falls, and is diagnosed through single-time blood pressure measurements.
- This study explored the use of near-infrared spectroscopy (NIRS) to continuously measure cerebral oxygenation and its relationship with blood pressure (BP) and cerebral blood velocity (CBv) during posture changes in 41 participants aged 20-88.
- Results showed that BP and NIRS-measured oxygen levels correlated well shortly after standing, while longer-term associations were weak, highlighting the importance of NIRS for understanding OH repercussions during postural changes.