Publications by authors named "N van Leeuwen"
Importance: Efficient care processes are crucial to minimize treatment delays and improve outcome after endovascular thrombectomy (EVT) in patients with ischemic stroke. A potential means to improve care processes is performance feedback.
Objective: To evaluate the effect of performance feedback to hospitals on treatment times for EVT.
Article Synopsis
- A study examined variations in treatment outcomes and costs of inflammatory bowel disease (IBD) across 8 hospitals in the Netherlands, focusing on how these differences can inform quality and cost improvements in care.
- The study included 1010 patients and found that while clinicians reported high remission rates (83%), patient-reported rates were significantly lower (40%), indicating discrepancies in perceived outcomes.
- Most variations in treatment outcomes and costs were linked to individual patient factors rather than the hospitals themselves, suggesting that future efforts should concentrate on enhancing patient-level care rather than evaluating hospitals based on these variations.
Objective: This case series explored the integration of smartwatches in a community mental health service to support severe mental illness (SMI) management and intervention. We examined whether biometric data provided by smartwatches could help to predict relapse and inform treatment decisions.
Method: Four Australian SMI outpatients of mixed diagnoses (age range = 19-24) were selected from a prior study.
Background: Healthcare services worldwide are transforming themselves into value-based organizations. Integrated care is an important aspect of value-based healthcare (VBHC), but practical evidence-based recommendations for the successful implementation of integrated care within a VBHC context are lacking. This systematic review aims to identify how value-based integrated care (VBIC) is defined in literature, and to summarize the literature regarding the effects of VBIC, and the facilitators and barriers for its implementation.
View Article and Find Full Text PDFBackground: Patients with head and neck squamous cell carcinoma (HNSCC) enter the palliative phase when cure is no longer possible or when they refuse curative treatment. The mean survival is five months, with a range of days until years. Realistic prognostic counseling enables patients to make well-considered end-of-life choices.
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