Publications by authors named "M D Krekels"
Article Synopsis
- The study investigates how the number of phosphate binder pills affects the health-related quality of life (HRQoL) of dialysis patients, focusing on physical and mental health outcomes.
- It includes data from 388 patients across 21 Dutch dialysis centers, assessing factors like appetite, gastrointestinal symptoms, and mental health using various scales.
- Findings show that while the physical quality of life remains stable regardless of pill burden, patients taking more than 6 pills per day report poorer mental health and increased feelings of nervousness and sadness.
Background: Redundant use of diagnostic tests in primary care has shown to be a contributor to rising Dutch healthcare costs. A price display in the test ordering system of the electronic health records (EHRs) could potentially be a low-cost and easy to implement intervention to a decrease in test ordering rate in the primary care setting by creating more cost-awareness among general practitioners (GPs). The aim of this study was to assess the effect of a price display for diagnostic laboratory tests in the EHR on laboratory test ordering behavior of GPs in the Westelijke Mijnstreek region in the Netherlands.
View Article and Find Full Text PDF[General practitioners' use of internal medicine e-consultations].
Ned Tijdschr Geneeskd
February 2020
Objective: Consultations between general practitioners (GPs) and hospital specialists are traditionally conducted by phone. A conversation by phone where a GP seeks advice regarding a patient, who is unknown to the specialist, can have limitations. An e-consultation service for internal medicine allows GPs to consult an internal medicine specialist for clinical queries.
View Article and Find Full Text PDFObjectives: To investigate how many general practitioner (GP)-referred venous thromboembolic events (VTEs) are diagnosed during 1 year in one geographical region and to investigate the (urgent) referral pathway of VTE diagnoses, including the role of laboratory D-dimer testing.
Design: Historical cohort study.
Setting: GP patients of 47 general practices in a demarcated geographical region of 161 503 inhabitants in the Netherlands.